NPIMap

Individual provider Active NPI

Beth Ann Cochran, MD

  • Family Medicine Physician
  • Wolfforth, TX
National Provider Identifier
1891995361
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M9930 Issued in TX
Practice address
502 Dowden Rd
Wolfforth, TX 79382-5546
Phone
(806) 725-6885
Fax
(806) 725-6886
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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 M9930 TX Primary

Addresses

Primary practice location

502 Dowden Rd
Wolfforth, TX 79382-5546

Mailing address

2215 Nashville Ave
Lubbock, TX 79410-1105
Phone (806) 725-5844

Other identifiers 4

IdentifierTypeStateIssuer
37857541MedicaidNM
8V9888OtherTXBLUE CROSS BLUE SHEILD TX
196363901MedicaidTX
8L1666OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081009000288 TX Practitioner - Family Practice 5698843274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians
Covenant Medical GroupGroup PAC ID 6901889393, 228 clinicians

Practice addresses (Care Compare)

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

502 N Dowden Rd
Suite 105
Wolfforth, TX 79382-5515
Phone (806) 725-6885

Hospital & facility affiliations

  • Beyondfaith Homecare & Rehab LLC Home health agency, Lubbock, TX, CCN 679374
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306
  • Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162
  • Lamb Healthcare Center Hospital, Littlefield, TX, CCN 450698
  • University Medical Center Hospital, Lubbock, TX, CCN 450686

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M9930TXMDFamily Medicine Physician

Organizations & group practices 1

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 10

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1891995361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 NASHVILLE AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101105",
            "telephone_number": "806-725-5844",
            "fax_number": "806-723-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 DOWDEN RD",
            "city": "WOLFFORTH",
            "state": "TX",
            "postal_code": "793825546",
            "telephone_number": "806-725-6885",
            "fax_number": "806-725-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCHRAN",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M9930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37857541",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD TX",
            "identifier": "8V9888",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196363901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8L1666",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolfforth, TX

Sources for this page

Verify at the official NPI Registry.