Bradley M Cochran, MD | |
200 Medical Center Drive, Fort Payne, AL 35968 | |
(256) 997-2189 | |
(256) 638-7445 |
Full Name | Bradley M Cochran |
---|---|
Gender | Male |
Speciality | Radiology - Diagnostic Radiology |
Location | 200 Medical Center Drive, Fort Payne, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710030689 | NPI | - | NPPES |
009941342 | Medicaid | AL | |
051501857 | Other | AL | BC BS OF AL |
051501857 | Medicaid | AL | |
515-39183 | Other | AL | BC BS OF AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 21716 (Alabama) | Primary |
Entity Name | Dekalb Radiologist Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891848784 PECOS PAC ID: 5294831368 Enrollment ID: O20070507000207 |
Mailing Address | Practice Location Address |
---|---|
Bradley M Cochran, MD Po Box 680949, Fort Payne, AL 35968-1610 Ph: (256) 997-2189 | Bradley M Cochran, MD 200 Medical Center Drive, Fort Payne, AL 35968 Ph: (256) 997-2189 |
Donn Brascho, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1608 Glenn Blvd Sw, Fort Payne, AL 35968 Phone: 256-845-3500 | |
Dr. Robert Charles Mills, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 200 Medical Center Dr, Fort Payne, AL 35968 Phone: 256-845-3150 | |
John A Pinkston, MD Radiology Medicare: Medicare Enrolled Practice Location: 1608 Glenn Blvd Sw, Fort Payne, AL 35968 Phone: 256-845-3500 Fax: 256-997-9208 |