Bertram H Cochran MD Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35024257 Issued in OH

Legal business name

BERTRAM H COCHRAN MD INC.

Practice address

8224 Mentor Ave
Suite 104
Mentor, OH 44060-5768

Phone

(440) 255-3435

Fax

(440) 255-0181

NPI assigned

Apr 5, 2010

Last updated

Apr 5, 2010By 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

Bertram H Cochran, MD

Title

Owner

Phone

(440) 355-3435

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1609191477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8224 MENTOR AVE",
            "address_2": "SUITE 104",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605768",
            "telephone_number": "440-255-3435",
            "fax_number": "440-255-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8224 MENTOR AVE",
            "address_2": "SUITE 104",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605768",
            "telephone_number": "440-255-3435",
            "fax_number": "440-255-0181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERTRAM H COCHRAN MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "BERTRAM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-355-3435",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35024257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "000000165358",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058342",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy Erin Berry
• Karen Berry
• Kaylee Berry
• Richard Berry, MD
• Michelle Bertman, LSW
• Emma River Berzonsky
• Sydney Lynne Betonte
• Sarah Betteley
• Better Together Companion Services
• Otis Calvin Bevel III, DMD

• Internal Medicine Physician in Mentor, OH
• Providers in Mentor, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.