Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Courtney Jane Cockerell, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1346504644

Courtney Jane Cockerell, DO is a Gastroenterology in Fenton, Missouri. Qualified in 2012, 14 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
14
Licensed in
MO
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1011 Bowles Ave Ste 425
Fenton, MO 63026-2384
Phone: (636) 496-5030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1402 S Grand Blvd, Saint Louis, MO 63104-1004 — (314) 577-8762

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence 2015021511 (MO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1346504644
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 2, 2012
Last updated in NPPESOctober 20, 2020
Certification dateOctober 20, 2020
Mailing addressPo Box 955534, Saint Louis, MO 63195-1840

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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