Dekalb Radiologist Group, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

DEKALB RADIOLOGIST GROUP, LLC

Practice address

200 Medical Center Drive
Fort Payne, AL 35968

Phone

(256) 997-2189

Fax

(256) 638-7445

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Bradley M Cockran, MD

Title

Owner

Phone

(256) 997-2189

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891848784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680949",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359681610",
            "telephone_number": "256-997-2189",
            "fax_number": "256-638-7445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DRIVE",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "35968",
            "telephone_number": "256-997-2189",
            "fax_number": "256-638-7445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB RADIOLOGIST GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COCKRAN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-997-2189",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dekalb County Hospital Association
• Dekalb County Mr Board
• Dekalb Emergency Group LLC
• Dekalb Foot Clinic
• Dekalb Primary Care
• Dekalb Radiology
• Dekalb Specialty Care
• Delila Enterprises Dba Chiropractic First
• Sarah Elizabeth Devilbiss, MSN, PMHNP-BC, CRNP
• Rebekah Dewitt, RDN

• Diagnostic Radiology Physician in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Diagnostic Radiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.