Active NPI
David Peleg, M.D.
- Obstetrics & Gynecology Physician
- Bradford, PA
National Provider Identifier
1720248289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD432865
- 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, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD432865 | Other | PA | MEDICAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD22825 | ME | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba RiverBend Medical Group
- Sleep Disorder Diagnostic Clinic/Center
- Chicopee, MA
- NPI 1427280791
-
dba Trinity Health Of New England Medical Group
- Durable Medical Equipment & Medical Supplies
- Springfield, MA
- NPI 1639280779
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
- Jill M. Owens, M.D.
- Jacqueline P Palange, DPT
- Lexandria Pascarella, PA
- Matthew Scott Pascuzzi, PTA
- Abbey Paulsen, CRNP
- Dana J Pence, PT
- Jacob Burnell Penhollow, FNP-BC
- Penn North Centers for Advanced Wound Care Inc
- Penndoc Foot & Ankle Center, LLC
- Pennsylvania CVS Pharmacy LLC (CVS Pharmacy # 04270)
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.