Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRANDON BOCKEWITZ, MD
ActiveBRANDON BOCKEWITZ, MD is a Sports Medicine healthcare provider located in PEORIA, Illinois. NPI 1619199627 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · PEORIA, IL
Registration Details
- NPI Number
- 1619199627
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 2, 2007 (19.240478318187 yrs)
- Last Updated
- Jan 7, 2020
- Licenses
-
036121479 (IL)036121479 (IL)
Practice Information
- Address
-
5401 N KNOXVILLE AVE STE 112PEORIA, IL, 616145021Browse IL providers · Browse ZIP 61614
- Phone
- 3096932020
- Fax
- 3096838850
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| CHRISTINE L THARENOS | MD | 1992757322 |
| BRAD ROBERTS | DO | 1982627204 |
| ADAM EMIL COLEN | DO | 1346534724 |
| DR. THOMAS JOSEPH BOLLAERT | MD | 1245680651 |
| HYUNG JIN LIM | DO | 1699355511 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.