Individual provider Active NPI

Edwin Rockford McCord, D.C.

  • Chiropractor
  • Mobile, AL
National Provider Identifier
1962569699
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1136 Issued in AL
Practice address
3737 Government Blvd
Suite 302
Mobile, AL 36693-4308
Phone
(251) 665-5525
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1136 AL Primary

Addresses

Primary practice location

3737 Government Blvd
Suite 302
Mobile, AL 36693-4308

Mailing address

3737 Government Blvd
Suite 302
Mobile, AL 36693-4308
Phone (251) 665-5525

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1136ALMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The McCord Clinic, Inc Chiropractor CurrentSince Jul 28, 2024 Accepting new patients
Rockford Enterprises Inc Chiropractor CurrentSince Jun 27, 2021 Accepting new patients

Locations

3737 Government Blvd
Ste 302
Mobile, AL 36693
Phone (251) 665-5525

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1962569699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 GOVERNMENT BLVD",
            "address_2": "SUITE 302",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366934308",
            "telephone_number": "251-665-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 GOVERNMENT BLVD",
            "address_2": "SUITE 302",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366934308",
            "telephone_number": "251-665-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORD",
        "first_name": "EDWIN",
        "middle_name": "ROCKFORD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "1136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.