Active NPI
David Keith Cochran, D.O.
- Family Medicine Physician
- Montgomery City, MO
National Provider Identifier
1649353558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 100089
- Practice address
- 106 Alan Dr
Montgomery City, MO 63361-2102 - Phone
- (573) 564-6244
- Fax
- (573) 564-6244
- NPI assigned
- Oct 23, 2006
- Last updated
- Mar 23, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 100089 | MO | Primary |
Addresses
Primary practice location
106 Alan Dr
Montgomery City, MO 63361-2102
Mailing address
106 Alan Dr
Montgomery City, MO 63361-2102
Phone (573) 564-6244
Other names 1
- David Keith Cochran
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 20, 2019 through Sep 20, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100089 | MO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1649353558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 ALAN DR",
"city": "MONTGOMERY CITY",
"state": "MO",
"postal_code": "633612102",
"telephone_number": "573-564-6244",
"fax_number": "573-564-6244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 ALAN DR",
"city": "MONTGOMERY CITY",
"state": "MO",
"postal_code": "633612102",
"telephone_number": "573-564-6244",
"fax_number": "573-564-6244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "DAVID",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "100089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAVID",
"last_name": "COCHRAN",
"middle_name": "KEITH",
"credential": "DO",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Montgomery City, MO
- Michelle Marie Burski
- Carolyn Sue Canterbury, NP
- Tammi Carter
- Cary Baney (County Chiropractic)
- Mike Cheng
- County of Montgomery School Dist
- Critchfield Physical Therapy PC (Montgomery County Physical Therapy)
- Byron Todd Critchfield, P.T.
- Amy Alvera Davis
- Developmental Disabilities Assistance Board of Montgomery County
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.