BRANDON BOCKEWITZ MD – NPI #1619199627
Family Medicine

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

BRANDON BOCKEWITZ is a physician located in PEORIA, IL. NPPES has assigned the NPI number 1619199627 to BRANDON BOCKEWITZ on May 02, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207QS0010X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Sports Medicine

The NPI profile was previously updated about 6 years ago on Jan 07, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRANDON BOCKEWITZ below.

NPI Profile for
BRANDON BOCKEWITZ

NPI Number
1619199627
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRANDON BOCKEWITZ
Credentials
MD
Primary location
5401 N KNOXVILLE AVE STE 112
PEORIA, IL 61614-5021
Phone: (309) 693-2020 Fax: (309) 683-8850
Mailing address
5100 RELIABLE PKWY
CHICAGO, IL 60686-0001
Phone: (309) 672-4809 Fax:
Sole Proprietor
No
Updated
Certification Date
Jan 07, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BRANDON BOCKEWITZ

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERLICENSEIL036121479
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QS0010X
- Family Medicine / Sports Medicine (Primary)
IL 036121479
207Q00000X
- Family Medicine
IL 036121479

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE - Graduated 2006
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
BRANDON BOCKEWITZ is affiliated with the following medical group(s):
  • HOSPITAL
    • METHODIST MEDICAL CENTER OF ILLINOIS
      221 N E GLEN OAK AVE
      PEORIA, IL 61636
    • PROCTOR HOSPITAL
      5409 N KNOXVILLE AVE
      PEORIA, IL 61614

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