Active NPI
Brad Lee Peck, DPM
- Foot & Ankle Surgery Podiatrist
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 887
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Saint Rose Dominican Hospitals - San Martin Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 68.18 of 100
- Quality
- 57.84
- Improvement activities
- 40
- Cost
- 43.06
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 178 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 45 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2104 | NV | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Physicians (Kumar) PLLC | Single Specialty | Current | Accepting new patients |
| Naz Wahab MD PC | Single Specialty | Current | 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.
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1528101284
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1861439952
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.