MR. BRYAN JAMES PEACOCK L.P.C.
NPI 1780819797
Counselor - Professional in Wauwatosa, WI
About Mr. Bryan James Peacock L.p.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. BRYAN JAMES PEACOCK L.P.C. (NPI 1780819797) is an individual professional provider in Wauwatosa, Wisconsin, licensed in Wisconsin (3957-125) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Bryan James Peacock L.p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bryan Peacock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waukesha, WI 53186
- Reassigned Medicare billing, Wisconsin enrollment
- 17 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WAUWATOSA, WI 53226
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bryan Peacock's NPI number?
The NPI number for Bryan Peacock is 1780819797. It was assigned to this individual provider in the NPPES registry on May 19, 2009.
Where is Bryan Peacock located?
Bryan Peacock practices at 11904 W North Ave Suite # 110, Wauwatosa, WI 53226. The listed phone number is (414) 248-4347.
What is Bryan Peacock's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Bryan Peacock enrolled in Medicare?
Yes. Bryan Peacock is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Bryan Peacock's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Peacock reassigns Medicare benefits to New Life Resources, Inc. (Waukesha, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bryan Peacock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bryan Peacock accept?
Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Bryan Peacock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bryan Peacock was last updated on May 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.
# Mr. Bryan James Peacock, L.P.C. · NPI 1780819797
Professional provider in Wauwatosa, Wisconsin. Individual provider, active in the CMS NPPES registry since May 19, 2009.
## Identity
- **NPI:** 1780819797 (Entity type: Individual)
- **Enumerated:** May 19, 2009
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 3957-125 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 11904 W NORTH AVE, SUITE # 110, Wauwatosa, WI 53226-2062
- **Phone:** (414) 248-4347
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** New Life Resources, Inc. (NPI 1225061997, Waukesha, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 19, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1780819797) · Data from the CMS NPPES public registry.