Brett C Lockman DO Medical Corporation

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

BRETT C LOCKMAN DO MEDICAL CORPORATION

Doing business as

Sierra Biotensegrity

Practice address

19468 Village Dr Ste 100
Sonora, CA 95370-9228

Phone

(209) 536-4776

Fax

(833) 302-0274

NPI assigned

Aug 27, 2019

Last updated

Aug 11, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brett Lockman, DONPI 1003002742

Title

President

Phone

(209) 536-4776

Specialties & licenses 6

Addresses

Other names 1

• Sierra Biotensegrity Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brett C. Lockman, DO

  • Interventional Pain Medicine Physician
  • Sonora, CA
  • NPI 1003002742

  Neuromusculoskeletal Medicine & Omm

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1194373738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18575 LAMBERT LAKE RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953709333",
            "telephone_number": "214-766-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19468 VILLAGE DR STE 100",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953709228",
            "telephone_number": "209-536-4776",
            "fax_number": "833-302-0274"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Mable Ave Ste 2",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953551120",
            "country_code": "US",
            "telephone_number": "209-571-1992",
            "fax_number": "209-571-1994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRETT C LOCKMAN DO MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-27",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "LOCKMAN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-536-4776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Biotensegrity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Ivy Boyd III, MD
• Suzanne Lee Boynton, D.D.S.
• Chrystal Anastasia Lucretia Bradley, M.D.
• Emily Branscum, PHD
• Karen A Brasesco, P.T.
• Barbara Laura Briner
• Dan Briseno
• Leslie M Brocchini, MD
• Melody Anne Brotby, M.A.
• Lawrence Eugene Brunel, M.D. F.A.C.O.G.

• Interventional Pain Medicine Physician in Sonora, CA
• Providers in Sonora, CA by specialty
• Interventional Pain Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.