Active NPI
Brian Cosmann, M.D.
- Diagnostic Radiology Physician
- Medford, OR
National Provider Identifier
1891757142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD24455
- Practice address
- 842 E Main St
Medford, OR 97504-7134 - Phone
- (541) 773-2493
- Fax
- (541) 779-3027
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Medical Specialty Clinic/Center
- Owasso, OK
- NPI 1588649305
-
- Diagnostic Radiology Physician
- Tulsa, OK
- NPI 1487641890
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Tulsa, OK
- NPI 1871574509
Diagnostic Radiology
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD24455 | OR | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tulsa Radiology Associates Inc | Diagnostic Radiology | Past | Accepting new patients |
| Radiological Imaging of Oklahoma, L.L.C. | Past | Accepting new patients | |
| Radiology Consultants of Tulsa Inc | Diagnostic Radiology | Past | Accepting new patients |
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD24455 | OR | Primary |
Addresses
Primary practice location
842 E Main St
Medford, OR 97504-7134
Mailing address
842 E Main St
Medford, OR 97504-7134
Phone (541) 773-2493
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 182008 | Medicaid | OR |
NPI Registry JSON
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232668800000",
"number": "1891757142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "842 E MAIN ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047134",
"telephone_number": "541-773-2493",
"fax_number": "541-779-3027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "842 E MAIN ST",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047134",
"telephone_number": "541-773-2493",
"fax_number": "541-779-3027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSMANN",
"first_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2009-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "MD24455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182008",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.