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ROGER COCKREHAM DO
NPI 1750076352
Student in an Organized Health Care Education/Training Program in San Antonio, TX

Active since April 10, 2023
4301 BROADWAY, SAN ANTONIO, TX 78209(210) 829-6000 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2024, May 10, 2023, Apr 10, 2023 (3 updates tracked since 2023).

About Roger Cockreham Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROGER COCKREHAM DO (NPI 1750076352) is an individual student in an organized health care education/training program in San Antonio, Texas and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1750076352
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameROGER COCKREHAMCredential: DO
Location Address4301 BROADWAYSan Antonio, TX 78209-6318
Mailing Address4301 BroadwaySan Antonio, TX 78209-6318 · (210) 829-6000
Phone(210) 829-6000
Sole ProprietorYes
Enumeration DateApril 10, 2023
Last NPPES UpdateJune 20, 20243 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1750076352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4301 BROADWAY, San Antonio, TX 78209
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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAOLA BENASSINI
Nutritionist
4301 BROADWAY
SAN ANTONIO, TX 78209
Bexar County (210) 501-7116
AISHA NAZARETH CAMET HERNANDEZ
Student in an Organized Health Care Education/Training Program
4301 BROADWAY
SAN ANTONIO, TX 78209
Bexar County (210) 829-6000
MR. TRI ANH TO
Student in an Organized Health Care Education/Training Program
4301 BROADWAY
SAN ANTONIO, TX 78209
Bexar County (210) 829-6000
JACQUELINE J HUA DPT
Physical Therapist
4301 BROADWAY
SAN ANTONIO, TX 78209
Bexar County (210) 283-6446
RENEE ANNE BELLANGER PHARM.D.
Pharmacist (Nutrition Support)
4301 BROADWAY, CPO 99
SAN ANTONIO, TX 78209
Bexar County (210) 883-1088
CHAOREN KOH MD
Student in an Organized Health Care Education/Training Program
4301 BROADWAY
SAN ANTONIO, TX 78209
Bexar County (210) 283-6998
DR. STACY PEREZ WATERMAN LPC, LCDC
Counselor (Mental Health)
4301 BROADWAY, AD 438
SAN ANTONIO, TX 78209
Bexar County (210) 827-3738
EDGARDO RIVERA LOPEZ PT, DPT, CSCS
Physical Therapist (Sports)
4301 BROADWAY
SAN ANTONIO, TX 78209
Bexar County (210) 829-6017

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 Roger Cockreham's NPI number?

The NPI number for Roger Cockreham is 1750076352. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Roger Cockreham located?

Roger Cockreham practices at 4301 Broadway, San Antonio, TX 78209. The listed phone number is (210) 829-6000.

What is Roger Cockreham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Roger Cockreham was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.