NPIMap

Organization Active NPI

C Brian Peffer DPM

  • Foot Surgery Podiatrist
  • Camp Hill, PA
National Provider Identifier
1568426831
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
SC001923-L Issued in PA
Legal business name
C BRIAN PEFFER DPM
Practice address
890 Poplar Church Rd
Suite 301
Camp Hill, PA 17011-2250
Phone
(717) 763-4693
Fax
(717) 763-4694
NPI assigned
Apr 13, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. C. Brian Peffer, D.P.M.NPI 1073577995
Title
Owner
Phone
(717) 763-4693

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X SC001923-L PA Primary

Addresses

Primary practice location

890 Poplar Church Rd
Suite 301
Camp Hill, PA 17011-2250

Mailing address

890 Poplar Church Rd
Suite 301
Camp Hill, PA 17011-2250
Phone (717) 763-4693

Other identifiers 1

IdentifierTypeStateIssuer
02524700OtherPACAPITAL BLUE CROSS

National Provider Directory

National Provider Directory

Locations

890 Poplar Church Rd
Ste 301
Camp Hill, PA 17011
Phone (717) 763-4693

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1568426831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 POPLAR CHURCH RD",
            "address_2": "SUITE 301",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112250",
            "telephone_number": "717-763-4693",
            "fax_number": "717-763-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 POPLAR CHURCH RD",
            "address_2": "SUITE 301",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112250",
            "telephone_number": "717-763-4693",
            "fax_number": "717-763-4694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C BRIAN PEFFER DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "PEFFER",
        "authorized_official_first_name": "C.",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-763-4693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC001923-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02524700",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.