Provider Demographics
NPI:1639216591
Name:COGENT MEDICAL SOLUTIONS
Entity Type:Organization
Organization Name:COGENT MEDICAL SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:RODDICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-400-2464
Mailing Address - Street 1:702 SPLITRAIL DRIVE
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027
Mailing Address - Country:US
Mailing Address - Phone:615-400-2464
Mailing Address - Fax:615-376-9190
Practice Address - Street 1:1106 HARPETH INDUSTRIAL CT
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37064-2224
Practice Address - Country:US
Practice Address - Phone:615-790-2220
Practice Address - Fax:615-376-9190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1455231Medicaid
TN1455231Medicaid