Individual provider Active NPI

Brett Alan McPeak, D.C., CCSP

  • Chiropractor
  • Danville, IN
National Provider Identifier
1154471886
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08002318A Issued in IN
Practice address
1995 E Main St
Danville, IN 46122-9128
Phone
(317) 445-5100
Fax
(317) 745-1267
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08002318A IN Primary

Addresses

Primary practice location

1995 E Main St
Danville, IN 46122-9128

Mailing address

1995 E Main St
Danville, IN 46122-9128
Phone (317) 445-5100

Other identifiers 1

IdentifierTypeStateIssuer
200900380MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070208000256 IN Practitioner - Chiropractic 1557363298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peak Health Chiropractic, P.C.Group PAC ID 8729167937, 2 clinicians

Practice addresses (Care Compare)

1995 E Main St
Danville, IN 46122-9128
Phone (317) 745-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08002318AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Health Chiropractic, P.C. Chiropractor CurrentSince Apr 2, 2008 Accepting new patients
Peak Health Medical Center CurrentSince Sep 11, 2022 Accepting new patients
Premier Sports Chiropractic of Indiana , P.C. Chiropractor PastSince Apr 3, 2012 Accepting new patients

Locations

1995 E Main St
Danville, IN 46122
Phone (317) 445-5100

Organizations & group practices 3

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1154471886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 E MAIN ST",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461229128",
            "telephone_number": "317-445-5100",
            "fax_number": "317-745-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 E MAIN ST",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461229128",
            "telephone_number": "317-445-5100",
            "fax_number": "317-745-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPEAK",
        "first_name": "BRETT",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C., CCSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08002318A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200900380",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.