Individual provider · Type 1 NPI

Brandon Bockewitz, MD

Sports Medicine (Family Medicine) Physician · Peoria, IL

NPI number 1619199627 Active

Practice location

5401 N Knoxville Ave Ste 112
Peoria, IL 61614-5021

Fax (309) 683-8850

Mailing address

5100 Reliable Pkwy
Chicago, IL 60686-0001

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X036121479 (IL)
Sports Medicine (Family Medicine) Physician Primary 207QS0010X036121479 (IL)

Sports Medicine (Family Medicine) Physician: 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, biomecha…

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About NPI 1619199627

Brandon Bockewitz, MD's National Provider Identifier is 1619199627, issued on May 2, 2007. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Peoria, IL. The record was last updated on Jan 7, 2020.