Provider Demographics
NPI:1033679600
Name:BEHNKE, BRIAN K (DO)
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:K
Last Name:BEHNKE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34490 BOB HOPE DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-1713
Mailing Address - Country:US
Mailing Address - Phone:760-568-3613
Mailing Address - Fax:760-340-5189
Practice Address - Street 1:34490 BOB HOPE DR
Practice Address - Street 2:
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-1713
Practice Address - Country:US
Practice Address - Phone:760-568-3613
Practice Address - Fax:760-340-5189
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A23958207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology