Healthcare Provider Details
I. General information
NPI: 1184667883
Provider Name (Legal Business Name): JAMES BRYAN COX DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/13/2006
Last Update Date: 03/07/2023
Certification Date: 09/11/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
721 D MALCOLM BLVD
RUTHERFORD COLLEGE NC
28671-2867
US
IV. Provider business mailing address
PO BOX 308
RUTHERFORD COLLEGE NC
28671
US
V. Phone/Fax
- Phone: 828-522-1290
- Fax: 828-522-1292
- Phone: 828-522-1290
- Fax: 828-522-1292
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 204D00000X |
| Taxonomy | Neuromusculoskeletal Medicine & OMM Physician |
| License Number | 2005-1297 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RA0201X |
| Taxonomy | Allergy & Immunology (Internal Medicine) Physician |
| License Number | 20051297 |
| License Number State | NC |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 2005-1297 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: