Individual provider Active NPI

Brandon J Hockenberry, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Reno, NV
National Provider Identifier
1417361965
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
18044 Issued in NV
Practice address
101 E Stadium Way
Reno, NV 89557-7917
Phone
(775) 982-1000
Fax
(775) 982-8045
NPI assigned
Jun 12, 2014
Last updated
Jan 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 18044 NV Primary
Family Medicine Physician 207Q00000X 18044 NV

Addresses

Primary practice location

101 E Stadium Way
Reno, NV 89557-7917

Mailing address

1155 Mill St # MCM-14
Reno, NV 89502-1576
Phone (775) 982-5262

Other practice location 1

975 Ryland St Ste 100
Reno, NV 89502
Phone (775) 982-5000

Other identifiers 1

IdentifierTypeStateIssuer
14282638OtherNVCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180921001490 NV Practitioner - Family PracticePractitioner - Sports Medicine 2567688476 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Nevada School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Practice addresses (Care Compare)

101 E Stadium Way
Reno, NV 89557
Phone (775) 982-1000

1343 Newlands Dr W
Fernley, NV 89408-8926
Phone (775) 982-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.15 of 100Reported as group
Quality
78.17
Promoting interoperability
100
Improvement activities
40
Cost
75.68

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18044NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Renown Medical School Associates North, Inc. CurrentSince Mar 13, 2023 Accepting new patients
Community Care Services LLC Family Medicine CurrentSince Aug 20, 2018 Accepting new patients
Hometown Health Management Company Family Medicine Current Accepting new patients
Hometown Health Management Company Family Medicine CurrentSince Aug 20, 2018 Accepting new patients
Renown Medical School Associates North, Inc. Family Medicine Current Accepting new patients
Community Care Services LLC CurrentSince Aug 20, 2018 Accepting new patients
Community Care Services LLC CurrentSince Aug 20, 2018 Accepting new patients
Renown Medical School Associates North, Inc. CurrentSince Mar 13, 2023 Accepting new patients
Eastern Sierra Medical Group LLC Family Medicine Current Accepting new patients
Community Care Services LLC Past Accepting new patients
Community Care Services LLC Family Medicine Past Accepting new patients
Reno Radiological Associates, Chartered Past Accepting new patients
Hometown Health Management Company Family Medicine Past Accepting new patients

Locations

2814 N Carson St
Ste 101
Carson City, NV 89706

560 W Williams Ave
Fallon, NV 89406

560 E Williams Ave
Fallon, NV 89406
Phone (775) 428-2022

1343 Newlands Dr W
Fernley, NV 89408
Phone (775) 575-3600

197 Damonte Ranch Pkwy
Ste Ab
Reno, NV 89521

4791 Summit Ridge Dr
Reno, NV 89523
Phone (775) 624-2200

1075 N Hills Blvd
Ste 180
Reno, NV 89506

850 Harvard Way
Reno, NV 89502

975 Ryland St
Ste 100
Reno, NV 89502
Phone (775) 982-5210

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

1155 Mill St
#14
Reno, NV 89502

197 Damonte Ranch Pkwy
Ste A
Reno, NV 89521
Phone (775) 985-5000

1664 N Virginia St
Reno, NV 89557
Phone (775) 784-1110

101 E Stadium Way
Reno, NV 89557
Phone (775) 982-1000

960 Ambassador Dr
Ste 121
Reno, NV 89523

780 Kuenzli St
Ste 202
Reno, NV 89502
Phone (775) 982-4590

440 USA Pkwy
Ste 101
Sparks, NV 89437

202 Los Altos Pkwy
Sparks, NV 89436

910 Vista Blvd
Sparks, NV 89434
Phone (775) 982-5592

Interoperability endpoints

  • Direct secure messaging: bhockenberry66804@direct.renown.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1417361965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # MCM-14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E STADIUM WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895577917",
            "telephone_number": "775-982-1000",
            "fax_number": "775-982-8045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Ryland St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "89502",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-5225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOCKENBERRY",
        "first_name": "BRANDON",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-12",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NV",
            "license": "18044",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "18044",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14282638",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.