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
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
Provider Enumeration Date 2007-05-02
Last Updated Date 2020-01-07

Provider Mailing Address Detail

Address 5401 N Knoxville Ave Ste 112
City Peoria
State Illinois (IL)
Post Code 616145021
Phone Number 3096932020
Fax Number 3096838850

Provider's Primary Taxonomy Detail

Speciality Family Medicine
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
36121479 IL LICENSE

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FAQs about Brandon Bockewitz

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.

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