CHARLES A PECK MD
NPI 1912205840
Clinic/Center - Ambulatory Surgical in Broomfield, CO

Q: What is Charles Peck's NPI number?

The NPI number for Charles Peck is 1912205840. It was assigned to this individual provider in the NPPES registry on March 1, 2011.

Q: What is Charles Peck's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Q: When was this NPI record last updated?

The NPPES record for Charles Peck was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 01, 2011

10901 W 120TH AVE, BROOMFIELD, CO 80021(720) 304-8941 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Charles A Peck Md NPPES

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

CHARLES A PECK MD (NPI 1912205840) is an individual ambulatory surgical provider in Broomfield, Colorado, licensed in Pennsylvania (MD432063) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1912205840

Entity TypeIndividualMale

Primary Taxonomy261QA1903X

Provider Legal NameCHARLES A PECKCredential: MD

Location Address10901 W 120TH AVEBroomfield, CO 80021-3418

Mailing Address2872 Gemini LoopBroomfield, CO 80023-4678 · (650) 515-6301

Phone(720) 304-8941

Sole ProprietorYes

Enumeration DateMarch 1, 2011

Last NPPES UpdateMarch 7, 2023

✔ NPI 1912205840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in PA · MD432063

10901 W 120TH AVE, Broomfield, CO 80021

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Other Providers at the Same Location NPPES

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

MARTIN GAFFEY III PT

Physical Therapist

10901 W 120TH AVE, SUITE 380
BROOMFIELD, CO 80021

Jefferson County (866) 302-0073

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 Charles Peck's NPI number?

The NPI number for Charles Peck is 1912205840. It was assigned to this individual provider in the NPPES registry on March 1, 2011.

Where is Charles Peck located?

Charles Peck practices at 10901 W 120th Ave, Broomfield, CO 80021. The listed phone number is (720) 304-8941.

What is Charles Peck's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Charles Peck was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.