Individual provider Active NPI

Dana Michele Hoxie Brockmann, MD

  • Occupational Medicine Physician
  • San Bernardino, CA
National Provider Identifier
1619537446
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
A177034 Issued in CA
Practice address
328 Commercial Rd
San Bernardino, CA 92408-3765
Phone
(909) 558-6222
NPI assigned
Jun 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X A177034 CA Primary

Addresses

Primary practice location

328 Commercial Rd
San Bernardino, CA 92408-3765

Mailing address

328 Commercial Rd
San Bernardino, CA 92408-3765
Phone (909) 558-6222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Mar 6, 2023 Accepting new patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince May 16, 2023 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince May 16, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Mar 6, 2023 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients

Locations

9310 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3700

9961 Sierra Ave
Fontana, CA 92335
Phone (909) 427-3910

11234 Anderson St
Ofc
Loma Linda, CA 92350
Phone (909) 558-4074

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

393 E Walnut St
Fl 5
Pasadena, CA 91188
Phone (310) 403-3235

328 Commercial Rd
Ste 101
San Bernardino, CA 92408
Phone (909) 558-6222

Interoperability endpoints

  • Direct secure messaging: dhoxie134875@direct.llu.edu

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1619537446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 COMMERCIAL RD",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083765",
            "telephone_number": "909-558-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 COMMERCIAL RD",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083765",
            "telephone_number": "909-558-6222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMANN",
        "first_name": "DANA",
        "middle_name": "MICHELE HOXIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-14",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "A177034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

Verify at the official NPI Registry.