Individual provider Active NPI

Brent Leroy Cosens, D.O.

  • Family Medicine Physician
  • Pittsburg, KS
National Provider Identifier
1811066848
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22856 Issued in KS
Practice address
200 E Centennial Dr
Suite 3 & 4
Pittsburg, KS 66762-6559
Phone
(620) 231-8003
Fax
(620) 231-8502
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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 22856 KS Primary

Addresses

Primary practice location

200 E Centennial Dr
Suite 3 & 4
Pittsburg, KS 66762-6559

Mailing address

200 E Centennial Dr
Suite 3 & 4
Pittsburg, KS 66762-6559
Phone (620) 231-8003

Other identifiers 1

IdentifierTypeStateIssuer
100231300BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050420000671 KS Practitioner - General PracticePractitioner - Family PracticePractitioner - Emergency Medicine 7911945993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Emergency Medicine, Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sek Urgent Care LLCGroup PAC ID 3577595123, 5 clinicians

Practice addresses (Care Compare)

302 E Centennial Dr
Pittsburg, KS 66762-6564
Phone (620) 231-8003

Hospital & facility affiliations

  • Mercy Hospital Pittsburg, Inc Hospital, Pittsburg, KS, CCN 170006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22856KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sek Urgent Care, LLC CurrentSince Jun 15, 2005 Accepting new patients
Mercy Kansas Communities Inc Past Accepting new patients

Locations

200 E Centennial Dr
Ste 34
Pittsburg, KS 66762
Phone (620) 231-8003

200 E Centennial Dr
Ste 3
Pittsburg, KS 66762
Phone (620) 231-8003

302 E Centennial Dr
Pittsburg, KS 66762
Phone (620) 231-8003

Organizations & group practices 2

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 1

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1811066848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E CENTENNIAL DR",
            "address_2": "SUITE 3 & 4",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626559",
            "telephone_number": "620-231-8003",
            "fax_number": "620-231-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E CENTENNIAL DR",
            "address_2": "SUITE 3 & 4",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626559",
            "telephone_number": "620-231-8003",
            "fax_number": "620-231-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSENS",
        "first_name": "BRENT",
        "middle_name": "LEROY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "22856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100231300B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

Verify at the official NPI Registry.