Individual
BRANDON J HOCKENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 E STADIUM WAY, RENO, NV 89557-7917
(775) 982-1000
(775) 982-8045
Mailing address
1155 MILL ST # MCM-14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-8045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
18044
NV
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
18044
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14282638
CAQH
NV
Enumeration date
06/12/2014
Last updated
01/30/2024
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