BRIANNA CORALINE PEACOCK MD
NPI 1750141065
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Q: What is Brianna Peacock's NPI number?

The NPI number for Brianna Peacock is 1750141065. It was assigned to this individual provider in the NPPES registry on March 21, 2024.

Q: What is Brianna Peacock's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Brianna Peacock was last updated on June 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 21, 2024PECOS Enrolled

3400 E MCDOWELL RD, PHOENIX, AZ 85008(602) 610-4319(480) 681-3301 Get Directions Write a Review

NPPES record last updated: June 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Brianna Coraline Peacock Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIANNA CORALINE PEACOCK MD (NPI 1750141065) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mesa.

NPPES Registry Identity

NPI1750141065

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameBRIANNA CORALINE PEACOCKCredential: MD

Location Address3400 E MCDOWELL RDPhoenix, AZ 85008-3884

Mailing Address650 E Indian School RdPhoenix, AZ 85012-1839

Phone(602) 610-4319

Fax(480) 681-3301

Sole ProprietorNo

Enumeration DateMarch 21, 2024

Last NPPES UpdateJune 14, 2025

NPPES CertifiedJune 14, 2025

✔ NPI 1750141065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3400 E MCDOWELL RD, Phoenix, AZ 85008

Open in Google Maps ↗

Secondary Practice Location 1

Location 12150 S Dobson Rd Ste 1Mesa, AZ 85202-6487 · Phone (480) 780-3092 · Fax (480) 897-0820

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brianna Coraline Peacock Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOBBI CHRISTENSEN FNP-C

Nurse Practitioner (Family)