Active NPI
Peter J Holzer, CPSRP
- Peer Specialist
- Bridgeport, CT
National Provider Identifier
1295667764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- CPSRP-8687
- Practice address
- 112 Clinton Ave
Bridgeport, CT 06605-1732 - Phone
- (475) 365-1874
- NPI assigned
- Jun 1, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | CPSRP-8687 | CT | Primary |
Addresses
Primary practice location
112 Clinton Ave
Bridgeport, CT 06605-1732
Mailing address
112 Clinton Ave
Bridgeport, CT 06605-1732
Phone (475) 365-1874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPSRP-8687 | CT | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780272000000",
"number": "1295667764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 CLINTON AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066051732",
"telephone_number": "475-365-1874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 CLINTON AVE",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066051732",
"telephone_number": "475-365-1874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZER",
"first_name": "PETER",
"middle_name": "J",
"credential": "CPSRP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-06-01",
"last_updated": "2026-06-01",
"certification_date": "2026-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "CT",
"license": "CPSRP-8687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.