Brandon Bockewitz in Peoria - Family Medicine
Brandon Bockewitz - NPI 1619199627
Brandon Bockewitz is a Family Medicine in Peoria, Illinois. Brandon Bockewitz practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Brandon Bockewitz is 1619199627. The last update date is 2020-01-07.
Brandon Bockewitz's current location address is 5401 N Knoxville Ave Ste 112, Peoria, Illinois. You can contact this provider via phone number 3096932020 and fax number 3096838850. The mailing address for Brandon Bockewitz is 5401 N Knoxville Ave Ste 112, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Brandon Bockewitz |
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Address | 5401 N Knoxville Ave Ste 112, Peoria, Illinois |
Phone Number | 3096932020 |
Fax Number | 3096838850 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1619199627 |
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Provider Enumeration Date | 2007-05-02 |
Last Updated Date | 2020-01-07 |
Provider Mailing Address Detail
Address | 5401 N Knoxville Ave Ste 112 |
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City | Peoria |
State | Illinois (IL) |
Post Code | 616145021 |
Phone Number | 3096932020 |
Fax Number | 3096838850 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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Taxonomy | 207Q00000X |
Licence No | 36121479 |
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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36121479 | IL | LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Brandon Bockewitz by the Centers for Medicare & Medicaid Services?
The Brandon Bockewitz has been assigned the NPI (National Provider Identifier) 1619199627 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Brandon Bockewitz's physical address?
The Brandon Bockewitz is physically located at 5401 N Knoxville Ave Ste 112, in the city of Peoria, IL, with the postal code 616145021.
What is the Brandon Bockewitz's area of specialization and corresponding taxonomy classification?
The Brandon Bockewitz's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did Brandon Bockewitz receive its 1619199627 assignment from the Centers for Medicare & Medicaid Services?
The Brandon Bockewitz was assigned its 1619199627 on 2007-05-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Brandon Bockewitz most recently updated or revised?
The details related to Brandon Bockewitz, including its address, specialty, and other relevant information, were last updated or revised on 2020-01-07.