Organization Active NPI

Biohack Healthcare PLLC

  • Internal Medicine Physician
  • Peoria, AZ
National Provider Identifier
1508788704
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BIOHACK HEALTHCARE PLLC
Practice address
8765 W Kelton LN
BLDG C1, Ste 101
Peoria, AZ 85382-5001
Phone
(904) 228-6999
NPI assigned
Jul 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Authorized official

Name
Priti Singh, MD
Title
Manager
Phone
(904) 228-6999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

8765 W Kelton LN
BLDG C1, Ste 101
Peoria, AZ 85382-5001

Mailing address

8765 W Kelton LN
BLDG C1, Ste 101
Peoria, AZ 85382-5001
Phone (904) 228-6999

Other names 1

  • ETERNA WELLNESS MD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786752000000",
    "number": "1508788704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 W KELTON LN",
            "address_2": "BLDG C1, STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825001",
            "telephone_number": "904-228-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 W KELTON LN",
            "address_2": "BLDG C1, STE 101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825001",
            "telephone_number": "904-228-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOHACK HEALTHCARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "PRITI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-228-6999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ETERNA WELLNESS MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.