COCKERELL & MCINTOSH PEDIATRICS PC NPI 1124190632

NPI Information

NPI: 1124190632
Provider Name: COCKERELL & MCINTOSH PEDIATRICS PC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Address: 205 NW RD MIZE RD
SUITE 304
BLUE SPRINGS, MO
ZIP 64014
Phone: (816) 228-4770

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NPI Details

COCKERELL & MCINTOSH PEDIATRICS PC is a primary care clinic center in Blue Springs, MO. COCKERELL & MCINTOSH PEDIATRICS PC NPI is 1124190632. The provider is registered as an organization entity type.

The provider's business location address is:

205 NW RD MIZE RD
SUITE 304
BLUE SPRINGS, MO
ZIP 64014-518
Phone: (816) 228-4770
Fax: (816) 228-1156

The provider's authorized official is Bryan E Wood .
The authorized official title is General Manager and has the following contact phone number (816) 228-4770.

The enumeration date for this NPI number is 11/14/2006 and was last updated on 1/31/2011.

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	261QP2300X	Clinic/Center	Primary Care			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	11862021	OTHER	MISSOURI	BCBS GROUP NUMBER

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: 11/21/2025

NPI Synchronization or Removal

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