James W Cockerill, M.D.

Individual provider Active NPI Psychiatry Physician · Kirtland Afb, NM

NPI 1902879174 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1902879174
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
20889 (NC)
Practice address
2050 A Second Street SE
Kirtland Afb, NM 87117-0001
Phone
(505) 846-3509
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20889NCMDPsychiatry Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20889 NC Yes

Addresses

Primary practice location

2050 A Second Street SE
Kirtland Afb, NM 87117-0001

Mailing address

2050 A Second Street SE
Kirtland Afb, NM 87117-0001
Phone (505) 846-3509

Other providers in Kirtland Afb, NM

All providers in Kirtland Afb, NM · Psychiatry Physician in New Mexico

Sources for this page

Verify at the official NPI Registry.