Healthcare Provider Details

I. General information

NPI: 1831310069
Provider Name (Legal Business Name): JAMES BREWER COCHRAN II DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2007
Last Update Date: 12/14/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1711 MADISON AVE
MEMPHIS TN
38104-6402
US

IV. Provider business mailing address

1711 MADISON AVE
MEMPHIS TN
38104-6402
US

V. Phone/Fax

Practice location:
  • Phone: 901-725-4371
  • Fax:
Mailing address:
  • Phone: 901-725-4371
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDS0000002124
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: