Brett L. Cochrum, MD, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H2308 Issued in TX

Legal business name

BRETT L. COCHRUM, MD, PA

Practice address

6210 John Ryan Dr
Ste 109a
Fort Worth, TX 76132-4113

Phone

(817) 294-4959

NPI assigned

Dec 26, 2007

Last updated

May 16, 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

Dr. Brett Landon Cochrum, MDNPI 1801836028

Title

Owner

Phone

(817) 294-4959

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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.

• Brett Cochrum, MD

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1801836028
  Medicare reassignment Care Compare group NPD Authorized official
• Fred W Rohm, DO

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1407894926
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1619151727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 JOHN RYAN DR",
            "address_2": "STE 109A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324113",
            "telephone_number": "817-294-4959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 JOHN RYAN DR",
            "address_2": "STE 109A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324113",
            "telephone_number": "817-294-4959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRETT L. COCHRUM, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "COCHRUM",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "LANDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-294-4959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR GROUP",
            "identifier": "DG9427",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PTAN",
            "identifier": "P00463690",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela K Brentlinger, CPNP
• Brentwood Stair Chiropractic
• Patricia Breslin, LMSW
• Robert Kloeb Bressler, MD
• Hannah Brestowski
• Mercedes Brevig
• Angela M Brewer, CRNA
• Colton Brewer
• Curtis Brewer, DO
• Jenee Marie Brewer, RN

• Family Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.