Individual provider Active NPI

David Peleg, M.D.

  • Obstetrics & Gynecology Physician
  • Bradford, PA
National Provider Identifier
1720248289
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD432865 Issued in PA
Practice address
159 Interstate Pkwy
Women's Health Services
Bradford, PA 16701-1013
Phone
(814) 362-8480
NPI assigned
Jun 9, 2008
Last updated
Feb 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD22825 ME
Obstetrics & Gynecology Physician 207V00000X MD432865 PA Primary

Addresses

Primary practice location

159 Interstate Pkwy
Women's Health Services
Bradford, PA 16701-1013

Mailing address

159 Interstate Pkwy
Women's Health Services
Bradford, PA 16701-1013
Phone (814) 362-8480

Other identifiers 1

IdentifierTypeStateIssuer
MD432865OtherPAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD22825MEMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mwa, PC Past Accepting new patients
Riverbend Medical Group, Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1720248289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 INTERSTATE PKWY",
            "address_2": "WOMEN'S HEALTH SERVICES",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011013",
            "telephone_number": "814-362-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 INTERSTATE PKWY",
            "address_2": "WOMEN'S HEALTH SERVICES",
            "city": "BRADFORD",
            "state": "PA",
            "postal_code": "167011013",
            "telephone_number": "814-362-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELEG",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "MD22825",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD432865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD432865",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.