Bradley M Cochran, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

21716 Issued in AL

Practice address

200 Medical Center Drive
Fort Payne, AL 35968

Phone

(256) 997-2189

Fax

(256) 638-7445

NPI assigned

Jan 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in AL, FL, GA, TX4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Diagnostic Radiology

Education

University of Alabama School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shi Specialists LLCGroup PAC ID 7911449558, 48 clinicians

Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Partners Imaging Center of Sarasota LLCGroup PAC ID 0042217861, 14 clinicians

American Imaging of Southwest Florida, Inc.Group PAC ID 0143517276, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hendry Regional Medical Center Hospital, Clewiston, FL, CCN 101309
• Desoto Memorial Hospital Hospital, Arcadia, FL, CCN 100175
• Larkin Community Hospital Palm Springs Campus Hospital, Hialeah, FL, CCN 100050

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Imaging of Southwest Florida,Inc

  • Diagnostic Radiology Physician
  • Port Charlotte, FL
  • NPI 1164888954
  Medicare reassignment Care Compare group NPD
• Partners Imaging Center of Sarasota LLC

  • Diagnostic Radiology Physician
  • Sarasota, FL
  • NPI 1548205271
  Medicare reassignment Care Compare group NPD
• Shi Specialists LLC

  • Body Imaging Physician
  • Clewiston, FL
  • NPI 1912761917

  GA, TX

  Medicare reassignment Care Compare group NPD
• Simonmed Imaging Florida LLC

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1477830818

  GA

  Medicare reassignment Care Compare group NPD
• Smi Imaging, LLC

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1972004489

  GA

  Medicare reassignment
• Dekalb Radiology

  • Diagnostic Radiology Physician
  • Fort Payne, AL
  • NPI 1326169343
  NPD (past) Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Desoto County Hospital District

  • Rural Acute Care Hospital
  • Arcadia, FL
  • NPI 1528387842
  Care Compare affiliation
• Hendry County Hospital Authority

  • Critical Access Hospital
  • Clewiston, FL
  • NPI 1215960315
  Care Compare affiliation
• Larkin Community Hospital Palm Springs Campus, LLC

  • General Acute Care Hospital
  • Hialeah, FL
  • NPI 1013382860
  Care Compare affiliation

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1710030689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680949",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359681610",
            "telephone_number": "256-997-2189",
            "fax_number": "256-638-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DRIVE",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "35968",
            "telephone_number": "256-997-2189",
            "fax_number": "256-638-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "BRADLEY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "21716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009941342",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF AL",
            "identifier": "051501857",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051501857",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF AL",
            "identifier": "515-39183",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad Freeman Chaney, O.D.
• Nicholas Chivers, CRNA
• Cilinical Urology Associates, P.C.
• Randall Eugene Cleckler, LCSW
• Brittany Clements
• Cole Surgical Arts
• Ashley Renee Cole, M.D.
• Elizabeth Dianne Cole, MD
• Jeffrey Randall Cole, M.D.
• Ashlie Cogollo Combs, ALC

• Diagnostic Radiology Physician in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Diagnostic Radiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.