Individual provider Active NPI

Brett Cochrum, MD

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1801836028
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H2308 Issued in TX
Practice address
6108 Oakbend TRL Ste 102
Fort Worth, TX 76132-3917
Phone
(817) 294-4959
Fax
(817) 294-1324
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H2308 TX Primary

Addresses

Primary practice location

6108 Oakbend TRL Ste 102
Fort Worth, TX 76132-3917

Mailing address

6108 Oakbend TRL Ste 102
Fort Worth, TX 76132-3917
Phone (817) 294-4959

Other identifiers 4

IdentifierTypeStateIssuer
45D1072789OtherCLIA
P00463690OtherTXMEDICARE RR PTAN
DG9427OtherTXMEDICARE RR GROUP
133752906MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080116000077 TX Practitioner - Family Practice 0446331425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brett L. Cochrum, MD, PAGroup PAC ID 4981785961, 2 clinicians

Practice addresses (Care Compare)

6108 Oakbend TRL
Suite 102
Fort Worth, TX 76132-3917
Phone (817) 294-4959

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
H2308TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brett L. Cochrum, MD, PA Family Medicine CurrentSince Aug 20, 2007 Accepting new patients

Locations

6210 John Ryan Dr
Ste 109A
Fort Worth, TX 76132
Phone (817) 294-4959

6108 Oakbend Trl
#102
Fort Worth, TX 76132
Phone (817) 294-4959

Interoperability endpoints

  • Direct secure messaging: brett.cochrum@brettc.eclinicaldirectplus.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1801836028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6108 OAKBEND TRL STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323917",
            "telephone_number": "817-294-4959",
            "fax_number": "817-294-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6108 OAKBEND TRL STE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323917",
            "telephone_number": "817-294-4959",
            "fax_number": "817-294-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRUM",
        "first_name": "BRETT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D1072789",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PTAN",
            "identifier": "P00463690",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR GROUP",
            "identifier": "DG9427",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133752906",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.