Individual provider Active NPI

David W Cosgrove, MD

  • Pain Medicine (Anesthesiology) Physician
  • Cullman, AL
National Provider Identifier
1952361735
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
MD.19927 Issued in AL
Practice address
1912 Al Highway 157
Cullman, AL 35058-0609
Phone
(256) 737-2639
Fax
(256) 737-2849
NPI assigned
Mar 24, 2006
Last updated
May 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X MD.19927 AL Primary
Interventional Pain Medicine Physician 208VP0014X AL19927 AL

Addresses

Primary practice location

1912 Al Highway 157
Cullman, AL 35058-0609

Mailing address

PO Box 661495
Birmingham, AL 35266-1495
Phone (205) 979-5882

Other identifiers 3

IdentifierTypeStateIssuer
51078440OtherALBLUE CROSS PROV #
529804180MedicaidAL
000078440MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050802000227 AL Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 7214993153 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Louisiana State University School of Medicine in New Orleans, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Anesthesia of Montgomery PCGroup PAC ID 5799684148, 117 clinicians

Practice addresses (Care Compare)

2105 E S Blvd
Montgomery, AL 36116-2409
Phone (334) 286-3579

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.19927ALMDPain Medicine (Anesthesiology) Physician
AL19927ALMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Anesthesia Associates, PC CurrentSince Apr 29, 2024 Accepting new patients
Cullman Regional Pain Services LLC Pain Medicine CurrentSince Apr 1, 2019 Accepting new patients
Blue Lake Health Alabama, LLC CurrentSince Jul 1, 2023 Accepting new patients
Robert W Nesbitt MD PC Pain Medicine CurrentSince Aug 1, 2019 Accepting new patients
Premier Anesthesia of Montgomery PC Pain Medicine CurrentSince Sep 1, 2024 Accepting new patients

Locations

2700 10th Ave S
Ste 444
Birmingham, AL 35205
Phone (205) 297-9801

1403 Wall St
Cullman, AL 35055
Phone (256) 734-9472

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

1912 AL Highway 157
Ste 100
Cullman, AL 35058
Phone (256) 737-2235

103 Helton Ct
Florence, AL 35630
Phone (256) 389-8228

1725 Park Pl
Montgomery, AL 36106
Phone (334) 293-8484

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

Interoperability endpoints

  • Direct secure messaging: dcosgrove@painsouth.gwaydirect.com
  • FHIR API: https://api.platform.athenahealth.com/15689/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1952361735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661495",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352661495",
            "telephone_number": "205-979-5882",
            "fax_number": "205-979-1248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 AL HIGHWAY 157",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580609",
            "telephone_number": "256-737-2639",
            "fax_number": "256-737-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSGROVE",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AL",
            "license": "MD.19927",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AL",
            "license": "AL19927",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROV #",
            "identifier": "51078440",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529804180",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000078440",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.