Joseph T Cockrell
Individual provider Active NPI Athletic Trainer · Bridgewater, VA
NPI 1982192837 · NPPES record last updated Jul 1, 2021
Key facts
- NPI
- 1982192837
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 402 E College St # 310
Bridgewater, VA 22812-1599 - Phone
- (804) 758-2508
- NPI assigned
- Apr 26, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
402 E College St # 310
Bridgewater, VA 22812-1599
Mailing address
402 E College St # 310
Bridgewater, VA 22812-1599
Phone (804) 758-2508
Other providers in Bridgewater, VA
- Sydni Carey
- Stephanie Lynn Carroll
- Janine Ceasar
- Maria Josephina Circosta
- Linsey Clarke
- Michael John Combs
- Gail Conner
- Clover May Cooper
- Ryan Philip Costello
- Caroline Coulter
All providers in Bridgewater, VA · Athletic Trainer in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.