Edward Hurst Peacock, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2129 Issued in AL

Practice address

1685 E University Dr Ste E
Auburn, AL 36830

Phone

(334) 501-8867

Fax

(866) 929-4872

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alabama Chiropractic Associates, Inc.

  • Chiropractor
  • Auburn, AL
  • NPI 1609317353
  NPD (past) Authorized official
• Complete Care Center Inc

  • Physical Medicine & Rehabilitation Physician
  • Auburn, AL
  • NPI 1174861611
  NPD (past) Authorized official
• Hurst Peacock, P.C.

  • Chiropractor
  • Auburn, AL
  • NPI 1730369216
  NPD (past) Authorized official

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530144000000",
    "number": "1306905807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 E UNIVERSITY DR STE E",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305217",
            "telephone_number": "334-501-8867",
            "fax_number": "866-929-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 E UNIVERSITY DR STE E",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "36830",
            "telephone_number": "334-501-8867",
            "fax_number": "866-929-4872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1452 Opelika Rd",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "AL",
            "postal_code": "368307613",
            "country_code": "US",
            "telephone_number": "334-501-8867",
            "fax_number": "334-887-3524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "EDWARD",
        "middle_name": "HURST",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2018-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHEILD",
            "identifier": "51001163",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "K495",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Auburn, AL
• Providers in Auburn, AL by specialty
• Chiropractor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; 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.