Individual provider Active NPI

Mark I Cockburn, MD

  • Surgical Critical Care Physician
  • Miami, FL
National Provider Identifier
1891761128
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
ME111035 Issued in FL
Practice address
11760 Bird Rd
Suite 722
Miami, FL 33175-3582
Phone
(305) 559-1883
Fax
(305) 559-1887
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X E-19452 AR
Surgery Physician 208600000X ME111035 FL
Surgical Critical Care Physician 2086S0102X E-19452 AR
Trauma Surgery Physician 2086S0127X ME111035 FL
Surgical Critical Care Physician 2086S0102X ME111035 FL Primary

Addresses

Primary practice location

11760 Bird Rd
Suite 722
Miami, FL 33175-3582

Mailing address

11760 Bird Rd
Suite 722
Miami, FL 33175-3582
Phone (305) 559-1883

Other practice location 1

4301 W Markham St # 783
Little Rock, AR 72205-7101
Phone (501) 686-8000

Other practice location 2

201 E Sample Rd
Deerfield Beach, FL 33064-3502
Phone (561) 299-3667

Other practice location 3

3000 Coral Hills Dr
Coral Springs, FL 33065-4108
Phone (561) 299-3667

Other identifiers 1

IdentifierTypeStateIssuer
006267200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120501000329 FL Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 6103972492 Reassigns benefits to 3 organizations
I20250613003458 AR Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 6103972492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Howard University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuview Telehealth LLCGroup PAC ID 8022166974, 97 clinicians
South Florida Critical Care Services LLCGroup PAC ID 2466714241, 151 clinicians

Practice addresses (Care Compare)

3000 Coral Hills Dr
Coral Springs, FL 33065-4108
Phone (561) 299-3667

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1503
Phone (305) 928-7249

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (305) 661-9404

Hospital & facility affiliations

  • Broward Health North Hospital, Deerfield Beach, FL, CCN 100086
  • Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276
  • North Shore Medical Center Hospital, Miami, FL, CCN 100029

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Arkansas for Medical Sciences Surgery Current Accepting new patients
South Florida Critical Care Services LLC CurrentSince Aug 7, 2020 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jun 6, 2025 Accepting new patients
Nuview Telehealth, LLC CurrentSince Jun 10, 2020 Accepting new patients
University of Arkansas for Medical Sciences CurrentSince Jun 6, 2025 Accepting new patients
Fairfield County Surgical Specialists, PC Surgery Past Accepting new patients
Stamford Surgical Associates, LLC Surgery Past Accepting new patients
Specialty Care of Practice Associates,PA Past Accepting new patients

Locations

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278

1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

8370 W Flagler St
Ste 226
Miami, FL 33144
Phone (305) 917-5414

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309

Interoperability endpoints

  • Direct secure messaging: mark.cockburn@hca5.eclinicaldirectplus.com

Organizations & group practices 9

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 5

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1891761128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 BIRD RD",
            "address_2": "SUITE 722",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-559-1883",
            "fax_number": "305-559-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 BIRD RD",
            "address_2": "SUITE 722",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-559-1883",
            "fax_number": "305-559-1887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 W Markham St # 783",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722057101",
            "country_code": "US",
            "telephone_number": "501-686-8000",
            "fax_number": "501-526-5148",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 E Sample Rd",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "330643502",
            "country_code": "US",
            "telephone_number": "561-299-3667",
            "fax_number": "561-299-3670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3000 Coral Hills Dr",
            "address_purpose": "LOCATION",
            "city": "Coral Springs",
            "state": "FL",
            "postal_code": "330654108",
            "country_code": "US",
            "telephone_number": "561-299-3667",
            "fax_number": "561-299-3670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COCKBURN",
        "first_name": "MARK",
        "middle_name": "I",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2025-06-10",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AR",
            "license": "E-19452",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME111035",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "AR",
            "license": "E-19452",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "FL",
            "license": "ME111035",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "FL",
            "license": "ME111035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006267200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.