Organization Active NPI

Brenda J Peak DO PC

  • Family Medicine Physician
  • Huntsville, AL
National Provider Identifier
1295877074
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO337 Issued in AL
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

Updated by the provider on Jul 22, 2009

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
51027062OtherALBLUE CROSS BLUE SHIELD

Other names 1

  • Peak Clinic for Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.