Active NPI
Brenda J Peak DO PC
- Family Medicine Physician
- Huntsville, AL
National Provider Identifier
1295877074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO337
- Legal business name
- BRENDA J PEAK DO PC
- Practice address
- 532 Madison St SE
Huntsville, AL 35801-4205 - Phone
- (256) 704-7325
- Fax
- (256) 704-7330
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brenda J Peak, DO
- Title
- President
- Phone
- (256) 704-7325
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO337 | AL | Primary |
Addresses
Primary practice location
532 Madison St SE
Huntsville, AL 35801-4205
Mailing address
532 Madison St SE
Huntsville, AL 35801-4205
Phone (256) 704-7325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51027062 | Other | AL | BLUE CROSS BLUE SHIELD |
Other names 1
- Peak Clinic for Family Medicine
National Provider Directory
National Provider DirectoryLocations
3007 Memorial Pkwy SW
Ste B1
Huntsville, AL 35801
Phone (256) 533-1507
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Hampton Cove, AL
- NPI 1073664306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1248220800000",
"number": "1295877074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 MADISON ST SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014205",
"telephone_number": "256-704-7325",
"fax_number": "256-704-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 MADISON ST SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014205",
"telephone_number": "256-704-7325",
"fax_number": "256-704-7330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRENDA J PEAK DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2009-07-22",
"status": "A",
"authorized_official_last_name": "PEAK",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "256-704-7325",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AL",
"license": "DO337",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "51027062",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Peak Clinic for Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.