Provider Demographics
NPI:1720019482
Name:BOCKO, ALAN PATRICK (DPM)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:PATRICK
Last Name:BOCKO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 E FRANKLIN ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2825
Mailing Address - Country:US
Mailing Address - Phone:919-960-8858
Mailing Address - Fax:919-960-2882
Practice Address - Street 1:1506 E FRANKLIN ST
Practice Address - Street 2:SUITE 104
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2825
Practice Address - Country:US
Practice Address - Phone:919-960-8858
Practice Address - Fax:919-960-2882
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC410213ES0103X, 213ES0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC08018OtherBCBSNC IDENTIFICATION #
NC8908018Medicaid
NC014RTOtherBCBSNC GROUP #
NC1263797OtherCIGNA ID #
NCDA6773OtherRAILROAD MEDICARE
NCU72598Medicare UPIN
NC2433356DMedicare PIN