Active NPI
Justin Gregory Peacock, M.D., PH.D.
- Diagnostic Radiology Physician
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 28970
- Practice address
- 8901 Rockville Pike
Bethesda, MD 20889-0001 - Phone
- (301) 295-9151
- NPI assigned
- Feb 10, 2014
- Last updated
- May 6, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | MD485441 | PA | |
| Nuclear Medicine Physician | 207U00000X | 4301512179 | MI | |
| Diagnostic Radiology Physician | 2085R0202X | MD485441 | PA | |
| Nuclear Medicine Physician | 207U00000X | 28970 | NE | |
| Diagnostic Radiology Physician | 2085R0202X | 28970 | NE | Primary |
Addresses
Primary practice location
8901 Rockville Pike
Bethesda, MD 20889-0001
Mailing address
8901 Rockville Pike
Bethesda, MD 20889-0001
Phone (301) 295-9151
Other practice location 1
4660 S Hagadorn Rd Ste 510
East Lansing, MI 48823-6805
Phone (517) 353-5053
Other practice location 2
20 Expedition Trl Ste 103
Gettysburg, PA 17325-8599
Phone (717) 337-5991
Other practice location 3
3220 Discovery Dr Ste 100
Lansing, MI 48910-8609
Phone (517) 975-8930
Other practice location 4
4660 S Hagadorn Rd Ste 410
East Lansing, MI 48823-6819
Phone (517) 353-5053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, DC, MI, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301512179 | MI | MD | Nuclear Medicine Physician |
| 28970 | NE | MD | Nuclear Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Round Rock Imaging LLC | Current | Accepting new patients | |
| Preferred Imaging of Mesquite LLC | Diagnostic Radiology | Current | Accepting new patients |
| Preferred Imaging of McKinney, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Preferred Open MRI, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Preferred Imaging of Garland, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Preferred Imaging of Amarillo, LLC | Current | Accepting new patients | |
| Akumin Imaging Texas LLC | Current | Accepting new patients | |
| Msu Health Care Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Preferred Imaging of Austin LLC | Diagnostic Radiology | Current | Accepting new patients |
| Maryland Imaging Network PC | Diagnostic Radiology | Current | Accepting new patients |
| Preferred Imaging of Grapevine/Colleyville, LLC | Current | Accepting new patients | |
| Preferred Imaging of Irving LLC | Diagnostic Radiology | Current | Accepting new patients |
| Meadville Medical Center | Nuclear Medicine | Current | Accepting new patients |
| Meadville Medical Center | Current | Accepting new patients | |
| Msu Health Care Inc. | Current | Accepting new patients | |
| Msu Health Care Inc | Current | Accepting new patients | |
| Preferred Imaging of Corinth, LLC | Current | Accepting new patients | |
| Preferred Imaging of Plano, LLC | Current | Accepting new patients | |
| Preferred Imaging of Frisco, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Chesapeake Urology Associates LLC | Current | Accepting new patients | |
| Advanced Radiology Services PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
4660 S Hagadorn Rd
Ste 410
East Lansing, MI 48823
Phone (517) 884-6132
4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144
4660 S Hagadorn Rd
Ste 510
East Lansing, MI 48823
Phone (517) 884-7450
804 Service Rd
Ste A202
East Lansing, MI 48824
Phone (517) 884-2976
3220 Discovery Dr
Ste 100
Lansing, MI 48910
Phone (517) 975-8930
1 Medical Center Blvd
Ste 341
Chester, PA 19013
Phone (610) 619-7420
20 Expedition Trl
Ste 100
Gettysburg, PA 17325
Phone (717) 334-8333
20 Expedition Trl
Ste 101
Gettysburg, PA 17325
Phone (717) 334-4033
20 Expedition Trl
Ste 103
Gettysburg, PA 17325
Phone (717) 337-5991
1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728
751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081
10501 Gateway Blvd W
Ste 140
El Paso, TX 79925
Phone (915) 544-7300
Organizations & group practices 21
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Pennsylvania Cancer Specialists & Research Institute
- Hematology & Oncology Physician
- Gettysburg, PA
- NPI 1982734976
-
- Multi-Specialty Clinic/Center
- Meadville, PA
- NPI 1629633573
Nuclear Medicine
-
- Allergy & Immunology Physician
- East Lansing, MI
- NPI 1700418670
-
- Radiology Clinic/Center
- El Paso, TX
- NPI 1235771205
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Meadville, PA
- NPI 1639067804
-
- Diagnostic Radiology Physician
- East Lansing, MI
- NPI 1275165052
-
- Physical Therapist
- East Lansing, MI
- NPI 1689206419
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Amarillo, TX
- NPI 1235544669
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Austin, TX
- NPI 1437542818
Diagnostic Radiology
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Corinth, TX
- NPI 1831328392
-
- Radiology Clinic/Center
- Frisco, TX
- NPI 1881028397
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1336563493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8901 ROCKVILLE PIKE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890001",
"telephone_number": "301-295-9151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 ROCKVILLE PIKE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890001",
"telephone_number": "301-295-9151"
}
],
"practiceLocations": [
{
"address_1": "4660 S Hagadorn Rd Ste 510",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488236805",
"country_code": "US",
"telephone_number": "517-353-5053",
"fax_number": "517-884-7640",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20 Expedition Trl Ste 103",
"address_purpose": "LOCATION",
"city": "Gettysburg",
"state": "PA",
"postal_code": "173258599",
"country_code": "US",
"telephone_number": "717-337-5991",
"fax_number": "717-337-5995",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3220 Discovery Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Lansing",
"state": "MI",
"postal_code": "489108609",
"country_code": "US",
"telephone_number": "517-975-8930",
"fax_number": "517-337-4985",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4660 S Hagadorn Rd Ste 410",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488236819",
"country_code": "US",
"telephone_number": "517-353-5053",
"fax_number": "517-884-7640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEACOCK",
"first_name": "JUSTIN",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-02-10",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "PA",
"license": "MD485441",
"primary": false
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "MI",
"license": "4301512179",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD485441",
"primary": false
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "NE",
"license": "28970",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NE",
"license": "28970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.