BOBBY LEWIS JR. COCKRAM (PA) – Physician Assistant, NPI 1689601320

BOBBY LEWIS JR. COCKRAM (PA) is a healthcare provider. based in Salem, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 0110001402 (VA). The NPI Number for BOBBY LEWIS JR. COCKRAM (PA) is 1689601320

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
BOBBY LEWIS JR. COCKRAM (PA)
NPI
1689601320
Phone
(540) 776-2020
Address
1802 Braeburn Dr
Enumeration Date
27 June 2006
Last Update Date
22 September 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7037764001
Graduation Year
2011 (15 years ago)
PAC ID
9234124686
Group Practice PAC ID
2466351093
Professional Enrollment ID
I20130521000665
Address ID
VA220423307FA3300XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for BOBBY LEWIS JR. COCKRAM (PA)

  • 1802 Braeburn Dr

    Suite 1310

    Salem, VA 241537357

    Phone: (540) 776-2020

    Fax: (540) 776-2017

    Type: Location

  • 3300 Gallows Rd Dept Of

    Falls Church, VA 220423307

    Phone: (703) 776-3582

    Type: Location

  • 44045 Riverside Pkwy

    Leesburg, VA 201765101

    Phone: (703) 858-6000

    Fax: (703) 858-6900

    Type: Location

  • 4320 Seminary Rd

    Alexandria, VA 223041535

    Phone: (703) 504-3000

    Fax: (703) 504-3388

    Type: Location

  • 2501 Parkers Ln

    Alexandria, VA 223063209

    Phone: (703) 664-7000

    Fax: (703) 664-7666

    Type: Location

  • PO BOX 37174

    BALTIMORE, MD 212973174

    Phone: (571) 423-5699

    Fax: (571) 423-5698

    Type: Mailing

  • Inova Women's Hospital, 3300, Gallows Road, Falls Church, Fairfax County, Virginia, 22042, United States

    FALLS CHURCH, VA 220423300

    Phone: (703) 776-4001

    Fax: (703) 776-7113

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2023-07-25 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($31).

Total Amount

$31

General + Research + Ownership

Payments

1

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-25

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-05-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040416000185IPhysician AssistantVATBD
I20130521000665IPhysician AssistantDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 24153)

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Provider's Procedures

BOBBY LEWIS JR. COCKRAM (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTVA36556Insertion of central venous catheter for infusion, patient 5 years or older1818

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466351093View full group profile

Reviews

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Frequently asked questions

What identifier follows BOBBY LEWIS JR. COCKRAM (PA) across health systems?
The NPI 1689601320 uniquely identifies BOBBY LEWIS JR. COCKRAM (PA) in U.S. healthcare data.
Should I treat BOBBY LEWIS JR. COCKRAM (PA) as an active provider?
Patients and plans typically see BOBBY LEWIS JR. COCKRAM (PA) as active in the national extract.
What services align with BOBBY LEWIS JR. COCKRAM (PA)'s listing?
BOBBY LEWIS JR. COCKRAM (PA)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Is BOBBY LEWIS JR. COCKRAM (PA) tied to Salem, Virginia?
If you are local to Salem, Virginia, BOBBY LEWIS JR. COCKRAM (PA) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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