Active NPI
Rodger Brent Cook, DO
- General Practice Physician
- Alexandria, VA
National Provider Identifier
1740574920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 0102203573
- Practice address
- 526 N Henry St
Alexandria, VA 22314-2233 - Phone
- (703) 348-9110
- NPI assigned
- Jun 5, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 0102203573 | VA | Primary |
Addresses
Primary practice location
526 N Henry St
Alexandria, VA 22314-2233
Mailing address
526 N Henry St
Alexandria, VA 22314-2233
Phone (703) 348-9110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102203573 | VA | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450310400000",
"number": "1740574920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 N HENRY ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223142233",
"telephone_number": "703-348-9110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "526 N HENRY ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223142233",
"telephone_number": "703-348-9110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "RODGER",
"middle_name": "BRENT",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-05",
"last_updated": "2015-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0102203573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.