Alden G Cockburn MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

20040101 Issued in NM

Legal business name

ALDEN G COCKBURN MD

Practice address

1399 Weimer Rd
# 600
Taos, NM 87571-6340

Phone

(575) 751-0334

Fax

(575) 751-0297

NPI assigned

Apr 23, 2008

Last updated

Apr 23, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Judy R Cockburn

Title

Practice Manager

Phone

(575) 751-0334

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alden G Cockburn, MD

  • Urology Physician
  • Taos, NM
  • NPI 1225135791
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1578738381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1399 WEIMER RD",
            "address_2": "# 600",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716340",
            "telephone_number": "575-751-0334",
            "fax_number": "575-751-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1399 WEIMER RD",
            "address_2": "# 600",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875716340",
            "telephone_number": "575-751-0334",
            "fax_number": "575-751-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDEN G COCKBURN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "COCKBURN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "575-751-0334"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NM",
            "license": "20040101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29805325",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonio Aguilera
• Ronda Jo Akers I
• Susan M. Akins, C.N.M.
• Albuquerque Vamc
• Kathleen A Alcon, PT
• Bonnie Allen, CCSS
• Allison White Therapy LLC
• Zainab Almaani
• Victor Alvarado
• Amigos Unidos Inc

• Specialist in Taos, NM
• Providers in Taos, NM by specialty
• Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.