Active NPI
Jessica D Bocook, D.O.
- Adult Medicine Physician
- Southport, NC
National Provider Identifier
1861406423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 2010-00929
- Practice address
- 906 N Howe St
Southport, NC 28461 - Phone
- (910) 454-1197
- Fax
- (910) 454-4330
- NPI assigned
- Jul 28, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 2010-00929 | NC | Primary |
Addresses
Primary practice location
906 N Howe St
Southport, NC 28461
Mailing address
924 N Howe St
Southport, NC 28461-3038
Phone (910) 457-3806
Other practice location 1
906 N Howe St
Southport, NC 28461
Phone (910) 454-1197
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64120751 | Medicaid | KY |
Other names 1
- Jessica D Bradt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Pikeville, Kentucky College of Osteopathic Med, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4222 Long Beach Rd SE
Southport, NC 28461-8627
Hospital & facility affiliations
- Well Care Home Health
- J Arthur Dosher Memorial Hospital
- Novant Health Brunswick Medical Center
- Novant Health New Hanover Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J. Arthur Dosher Memorial Hospital | Current | Accepting new patients |
Locations
924 N Howe St
Southport, NC 28461
Phone (910) 457-3800
905 N Howe St
Southport, NC 28461
Phone (910) 457-3827
4222 Long Beach Rd SE
Ste C
Southport, NC 28461
Phone (910) 454-4728
Interoperability endpoints
- jessica.bocook@dosher.eclinicaldirectplus.com
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.
-
- General Acute Care Hospital
- Southport, NC
- NPI 1275660342
-
- Critical Access Hospital
- Southport, NC
- NPI 1538260229
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bolivia, NC
- NPI 1710915756
-
- Rural Health Clinic/Center
- Oak Island, NC
- NPI 1235405358
Hospital
-
- General Practice Physician
- Bald Head Island, NC
- NPI 1376961219
Hospital
-
- Critical Access Hospital
- Southport, NC
- NPI 1538260229
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
-
- Home Health Agency
- Wilmington, NC
- NPI 1760470660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550534400000",
"number": "1861406423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "924 N HOWE ST",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284613038",
"telephone_number": "910-457-3806",
"fax_number": "910-457-3842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "906 N HOWE ST",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "28461",
"telephone_number": "910-454-1197",
"fax_number": "910-454-4330"
}
],
"practiceLocations": [
{
"address_1": "906 N Howe St",
"address_purpose": "LOCATION",
"city": "Southport",
"state": "NC",
"postal_code": "28461",
"country_code": "US",
"telephone_number": "910-454-1197",
"fax_number": "910-454-4330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOCOOK",
"first_name": "JESSICA",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-28",
"last_updated": "2019-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "NC",
"license": "2010-00929",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64120751",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "BRADT",
"middle_name": "D",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Southport, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.