Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon Bockewitz, MD

Individual provider Family Medicine Physician · NPI 1619199627

Brandon Bockewitz, MD is a Sports Medicine in Peoria, Illinois. Graduated from Southern Illinois University School of Medicine in 2006, 20 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
20
Trained at
Southern Illinois University School of Medicine
Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5401 N Knoxville Ave Ste 112
Peoria, IL 61614-5021
Phone: (309) 693-2020
Fax: (309) 683-8850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 036121479 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036121479 (IL)

Record details

NPI number1619199627
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2007
Last updated in NPPESJanuary 7, 2020
Certification dateJanuary 7, 2020
Mailing address5100 Reliable Pkwy, Chicago, IL 60686-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySPORTS MEDICINE
Also practisesFAMILY PRACTICE
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Carle Health Care Incorporated — 1543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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