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

Mr. Timothy Brooks Cowart, IDC

Individual provider Independent Duty Corpsman · NPI 1477382596

Mr. Timothy Brooks Cowart, IDC is an Independent Duty Corpsman in LA Fayette, New York. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2886 Eager Rd
LA Fayette, NY 13084-9536
Phone: (206) 819-1813
Show map & directions

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

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1477382596
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorNo
NPI enumeratedJuly 29, 2024
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024