GARY WILLIAM COCKRELL (NPI# 1053452128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053452128 |
| Entity Type | Individual |
| Full Name | GARY WILLIAM COCKRELL |
| Credential | D.P.M. |
| Practice Address |
785 Old Hickory Blvd Suite 101 Brentwood TN 37027-4512 |
| Practice Telephone | 6153708880 |
| Practice Fax Number | 6153709039 |
| Mailing Telephone | 6153708880 |
| Mailing Fax Number | 6153709039 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2013-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | DPM0000000353 | TN | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
DPM0000000353 | TN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | FEDERAL EMPLOYER TAX ID # | 621451791 | 01 |
| Street Address |
785 OLD HICKORY BLVD SUITE 101 |
| City | BRENTWOOD |
| State | TN |
| Zip Code | 37027-4512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518956044 | Bradley Eugene Jolly | Dentist | 785 Old Hickory Blvd, Suite 100, Brentwood, TN 37027-4512 | 2005-10-18 |
| 1356994479 | Skylor Morton | Dentist | 785 Old Hickory Blvd, Brentwood, TN 37027-4512 | 2019-07-17 |
| 1275072860 | Kerry Meadows | Chiropractor | 785 Old Hickory Blvd, Ste. 200, Brentwood, TN 37027-4512 | 2017-02-16 |
| 1083039838 | Tristar Performance Plc | Chiropractor | 785 Old Hickory Blvd, Ste. 200, Brentwood, TN 37027-4512 | 2014-03-03 |
| 1942624762 | Sterling Foster | Chiropractor | 785 Old Hickory Blvd, Ste. 200, Brentwood, TN 37027-4512 | 2014-02-13 |
| 1881858249 | Brentwood Chiropractic Clinic | Chiropractor | 785 Old Hickory Blvd, Ste. 200, Brentwood, TN 37027-4512 | 2008-07-15 |
| 1639333032 | Breentwood Chiropractic Clinic | Chiropractor | 785 Old Hickory Blvd, Suite 200, Brentwood, TN 37027-4512 | 2008-07-15 |
| 1407014608 | Brittany Nicole Harris | Occupational Therapy Assistant | 785 Old Hickory Blvd, Brentwood, TN 37027-4512 | 2008-05-26 |
| 1639358690 | Brentwood Chiropractic | Chiropractor | 785 Old Hickory Blvd, Suite 200, Brentwood, TN 37027-4512 | 2007-10-26 |
| 1992870448 | Donald Carl Hudson | Chiropractor | 785 Old Hickory Blvd, Brentwood, TN 37027-4512 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
| 1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
| 1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
| 1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
| 1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
| 1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
| 1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
| Find all providers in zip 37027 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083656391 | Larry Randolph Narup | Podiatrist | 8816 W Pendleton Ave, Brentwood, MO 63144-2604 | 2006-06-12 |
| 1972689230 | Larry R Narup Inc. | Podiatrist | 8816 W Pendleton Ave, Brentwood, MO 63144-2604 | 2006-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497215438 | Sandberg Foot Health Center PC | Podiatrist | 116 Concord Rd Ste 300, Knoxville, TN 37934-2941 | 2019-03-25 |
| 1912202516 | Northwest Tennessee Foot Clinic, Pllc | Podiatrist | 1020 E Reelfoot Ave, Union City, TN 38261-6051 | 2011-01-13 |
| 1114158144 | Tomika Thomas Dpm | Podiatrist | 6775 Watergrove Dr, Memphis, TN 38119-8658 | 2009-08-08 |
| 1407021926 | Steve K Chase Dpm PC | Podiatrist | 7174 Stage Rd Ste 123, Bartlett, TN 38133-8954 | 2008-04-25 |
| 1376723163 | Associated Podiatrists of Tennessee | Podiatrist | 100 Medical Center Ct, Clarksville, TN 37043-4546 | 2007-11-08 |
| 1417140070 | Timothy L. Gardner,dpm | Podiatrist | 10810 Parkside Dr Ste 202, Knoxville, TN 37934-1981 | 2007-08-27 |
| 1437297595 | Oliver Foot Clinic, Inc. | Podiatrist | 635 N. Main Street, Suite A, Shelbyville, TN 37160-3235 | 2007-02-01 |
| 1134161979 | David Michael Velarde | Podiatrist | 2824 Merchants Dr, Knoxville, TN 37912-4905 | 2006-06-12 |
| 1720039779 | Carol A. Akerman | Podiatrist | 2725 Asbury Rd, Suite 102, Knoxville, TN 37914-6441 | 2006-05-15 |
| 1033109327 | Paul Benjamin Schodowski | Podiatrist | 2004 American Way, Suite 115, Kingsport, TN 37660-4673 | 2005-10-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.