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BRETT C LOCKMAN, DO – NPI #1003002742
Interventional Pain Medicine

NPI Profile for BRETT C LOCKMAN in SONORA, CA.

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Contact Information

BRETT C LOCKMAN, DO
19468 VILLAGE DR STE 100
SONORA, CA  95370-9228
 Phone: 209-536-4776
 Fax: 833-302-0274
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

 208VP0014X 09 Physician/Interventional Pain Management
 

Brain Injury Medicine

 2081P0301X 25 Physician/Physical Medicine and Rehabilitation
 

Neuromusculoskeletal Medicine & OMM

 204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Pain Medicine

 2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Pain Medicine

 208VP0000X 72 Physician/Pain Management
 

Physical Medicine & Rehabilitation

 208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Sports Medicine

 2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for BRETT C LOCKMAN · (Male)

NPI Number 1003002742
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 09/17/2007
Last updated 08/11/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 2015158
  • CA License # 20A15158
  • IA License # 4156
  • TX License # N0221
  • NC Other 0009606357 AETNA
  • NC Other 1542X BCBSNC
  • NC Other 2235045 MAMSI
  • NC Other P00784683 RAILROAD MEDICARE
  • NC Other 2915767 UHC
Hospital affiliation(s)
  • SONORA REGIONAL MEDICAL CENTER - (Acute Care)
    1000 GREENLEY ROAD
    SONORA, CA 95370
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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