Gregory John Peck

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

13511 S Springfield Rd
Brandywine, MD 20613-9232

Phone

(301) 782-4385

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1306814363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13511 S SPRINGFIELD RD",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206139232",
            "telephone_number": "301-782-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13511 S SPRINGFIELD RD",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206139232",
            "telephone_number": "301-782-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECK",
        "first_name": "GREGORY",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT DUTY CORPSMAN",
            "identifier": "1710I1002X",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Malaika Oliver, CRNP
• Racheal Oshu
• Michael Padgett
• Janese Parker
• Anish S. Patel, M.D., M.B.A
• Pediatrix Medical Group of the Mid-Atlantic PC
• Shauna Pettis, ANP
• Phoenix Freedom Foundation of MD, Inc
• Physician Imaging of Washington Hospital Center, LLC (MedStar Radiology Network at Brandywine)
• Physiocare Rehab & Wellness, LLC

• Independent Duty Corpsman in Brandywine, MD
• Providers in Brandywine, MD by specialty
• Independent Duty Corpsman in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.