Organization Active NPI

Peak Spine and Sports Medicine PLLC

  • Interventional Pain Medicine Physician
  • Decatur, TX
National Provider Identifier
1275312233
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
PEAK SPINE AND SPORTS MEDICINE PLLC
Practice address
1816 S FM 51 Ste 800
Decatur, TX 76234-3792
Phone
(940) 263-0005
Fax
(877) 292-3457
NPI assigned
Sep 27, 2023
Last updated
Sep 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Authorized official

Name
Brian K Rich, MDNPI 1063436947
Title
Owner
Phone
(940) 263-0005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

1816 S FM 51 Ste 800
Decatur, TX 76234-3792

Mailing address

4020 N Macarthur Blvd Ste 122-321
Irving, TX 75038-6419
Phone (940) 263-0005

Other practice location 1

2211 Midwestern Pkwy Ste 3
Wichita Falls, TX 76308-2300
Phone (940) 260-0005

National Provider Directory

National Provider Directory

Locations

4020 N MacArthur Blvd
Ste 122321
Irving, TX 75038

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726531200000",
    "number": "1275312233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4020 N MACARTHUR BLVD STE 122-321",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750386419",
            "telephone_number": "940-263-0005",
            "fax_number": "877-292-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 S FM 51 STE 800",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762343792",
            "telephone_number": "940-263-0005",
            "fax_number": "877-292-3457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2211 Midwestern Pkwy Ste 3",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763082300",
            "country_code": "US",
            "telephone_number": "940-260-0005",
            "fax_number": "877-292-3457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEAK SPINE AND SPORTS MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-263-0005",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.