DR. ANDREW C BOCKNER (NPI# 1477562692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477562692 |
| Entity Type | Individual |
| Full Name | DR. ANDREW C BOCKNER |
| Credential | MD |
| Practice Address |
5115 Bernard Drive Suite 204 Roanoke VA 24018 |
| Practice Telephone | 5407690156 |
| Practice Fax Number | 5407690158 |
| Mailing Telephone | 5407690156 |
| Mailing Fax Number | 5407690158 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2009-03-25 |
| NPI Deactivation Date | 02/28/2007 |
| NPI Reactivation Date | 2009-03-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0101027662 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MEDICARE RAILROAD | 260049028 | 01 |
| VA | ANTHEM | 384463 | 01 |
| VA | 7116926 | 05 |
| Street Address |
5115 BERNARD DRIVE SUITE 204 |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881202729 | Bagla LLC | Psychiatry & Neurology | 2103 Electric Rd Ste A, Roanoke, VA 24018-2303 | 2020-07-16 |
| 1427561059 | Greenbrook Tms Roanoke | Psychiatry & Neurology | 2965 Colonnade Dr Ste 307, Roanoke, VA 24018-3541 | 2017-11-06 |
| 1851646517 | Bhuvaneshwar Pagadala | Psychiatry & Neurology | 3164 Berry Ln Apt 113, Roanoke, VA 24018-6329 | 2012-07-18 |
| 1003111238 | Advanced Telepsychiatry, Inc. | Psychiatry & Neurology | 5372 Fallowater Lane, Suite C, Roanoke, VA 24018 | 2011-01-19 |
| 1487965471 | Janet George Philps | Psychiatry & Neurology | 3959 Electric Rd Ste 280, Roanoke, VA 24018-4572 | 2010-06-24 |
| 1568785376 | Horizon Med Inc | Psychiatry & Neurology | 4950 Brambleton Ave, Unit B, Roanoke, VA 24018-4119 | 2010-03-08 |
| 1265698930 | Sanjeev Kumar | Psychiatry & Neurology | 5400 Bernard Dr, F-205, Roanoke, VA 24018-0929 | 2008-08-01 |
| 1316108160 | Saadia Ajmal Sheikh | Psychiatry & Neurology | 6420 Eastshire Ct, Roanoke, VA 24018-6611 | 2008-06-24 |
| 1306030143 | Adetokunbo A Ladenika | Psychiatry & Neurology | 5260 Crossbow Cir, Unit 2c, Roanoke, VA 24018-9228 | 2007-09-05 |
| 1275727232 | Hilda Braverman Templeton | Psychiatry & Neurology | 24 Walnut Ave Sw, Roanoke, VA 24016-4719 | 2007-09-04 |
| Find all providers in ROANOKE | ||||
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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.