Individual provider Active NPI

Brad Lee Peck, DPM

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
National Provider Identifier
1730760307
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
887 Issued in NC
Practice address
6070 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5615
Phone
(702) 803-5534
NPI assigned
Apr 15, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 2104 NV
Podiatrist 213E00000X 889 NC
Student in an Organized Health Care Education/Training Program 390200000X NC
Foot & Ankle Surgery Podiatrist 213ES0103X 887 NC Primary

Addresses

Primary practice location

6070 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5615

Mailing address

6070 S Fort Apache Rd Ste 100
Las Vegas, NV 89148-5615
Phone (702) 803-5534

Other practice location 1

1738 Metromedical Dr
Fayetteville, NC 28304-3861
Phone (910) 484-4191

Other practice location 2

1535 N Raleigh St
Angier, NC 27501-8920
Phone (910) 892-1107

Other practice location 3

145 Tilghman Dr Ste 400
Dunn, NC 28334-4865
Phone (910) 892-1107

Other practice location 4

1645 Owen Dr
Fayetteville, NC 28304-3425
Phone (910) 615-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240415002611 NV Practitioner - Podiatry 2264834837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naz Wahab MD PCGroup PAC ID 4082630512, 13 clinicians

Practice addresses (Care Compare)

6070 S Fort Apache Rd
Suite 100
Las Vegas, NV 89148-5615
Phone (702) 803-5534

Hospital & facility affiliations

  • Sunrise Hospital and Medical Center Hospital, Las Vegas, NV, CCN 290003
  • Saint Rose Dominican Hospitals - San Martin Campus Hospital, Las Vegas, NV, CCN 290053

Merit-based Incentive Payment System (MIPS)

Final score
68.18 of 100Reported as group
Quality
57.84
Improvement activities
40
Cost
43.06

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue178
Removal of skin lesions1-10
Removal of nail tissue45
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2104NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Physicians (Kumar) PLLC Single Specialty CurrentSince Jun 1, 2024 Accepting new patients
Naz Wahab MD PC Single Specialty CurrentSince Jun 1, 2024 Accepting new patients

Locations

102 E Lake Mead Pkwy
Henderson, NV 89015
Phone (701) 564-2622

6050 S Fort Apache Rd
Ste 200B
Las Vegas, NV 89148

8425 S Eastern Ave
Las Vegas, NV 89123
Phone (702) 202-2060

2851 N Tenaya Way
Ste 101
Las Vegas, NV 89128
Phone (702) 309-4878

6070 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 307-7700

821 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 438-4003

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1730760307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485615",
            "telephone_number": "702-803-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485615",
            "telephone_number": "702-803-5534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1738 Metromedical Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043861",
            "country_code": "US",
            "telephone_number": "910-484-4191",
            "fax_number": "910-484-5546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1535 N Raleigh St",
            "address_purpose": "LOCATION",
            "city": "Angier",
            "state": "NC",
            "postal_code": "275018920",
            "country_code": "US",
            "telephone_number": "910-892-1107",
            "fax_number": "910-892-1385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Tilghman Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Dunn",
            "state": "NC",
            "postal_code": "283344865",
            "country_code": "US",
            "telephone_number": "910-892-1107",
            "fax_number": "910-892-1385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1645 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043425",
            "country_code": "US",
            "telephone_number": "910-615-3668",
            "fax_number": "910-615-9627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PECK",
        "first_name": "BRAD",
        "middle_name": "LEE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-15",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "2104",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "889",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.