DR. ALDEN G COCKBURN MD NPI 1225135791

NPI Information

NPI: 1225135791
Provider Name: DR. ALDEN G COCKBURN, MD
Classification: Urology - 208800000X
Entity Type: Individual
Address:
1399 WEIMER ROAD
# 600B
TAOS, NM
ZIP 87571
Phone: (505) 751-0334
Get Directions

DR. Alden G Cockburn, MD is an urology in Taos, NM. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Alden G Cockburn, MD NPI is 1225135791. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1399 WEIMER ROAD
# 600B
TAOS, NM
ZIP 87571-351
Phone: (505) 751-0334
Fax: (505) 751-0297

The enumeration date for this NPI number is 9/19/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology		MD2004-0101	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MD2004-0101	OTHER	NEW MEXICO	MEDICAL LIC #
2	00NM009M74	OTHER	NEW MEXICO	BLUE CROSS BLUE SHIELD
3	29805325	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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