JADEN MAX COOLEY DO
NPI 1205622644
Student in an Organized Health Care Education/Training Program in Lubbock, TX
About Jaden Max Cooley Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JADEN MAX COOLEY DO (NPI 1205622644) is an individual student in an organized health care education/training program in Lubbock, Texas and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lubbock.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jaden Max Cooley Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LUBBOCK, TX 79430
LUBBOCK, TX 79430
LUBBOCK, TX 79430
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jaden Cooley's NPI number?
The NPI number for Jaden Cooley is 1205622644. It was assigned to this individual provider in the NPPES registry on April 15, 2025.
Where is Jaden Cooley located?
Jaden Cooley practices at 3601 4th St, Lubbock, TX 79430. The listed phone number is (806) 787-6756.
What is Jaden Cooley's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jaden Cooley enrolled in Medicare?
Yes. Jaden Cooley is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jaden Cooley was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jaden Max Cooley, DO · NPI 1205622644
Student in an Organized Health Care Education/Training Program provider in Lubbock, Texas. Individual provider, active in the CMS NPPES registry since April 15, 2025.
## Identity
- **NPI:** 1205622644 (Entity type: Individual)
- **Enumerated:** April 15, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3601 4TH ST, Lubbock, TX 79430-0002
- **Phone:** (806) 787-6756
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205622644) · Data from the CMS NPPES public registry.