DR. BRIAN PECK (NPI# 1629036868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629036868 |
| Entity Type | Individual |
| Full Name | DR. BRIAN PECK |
| Credential | MD |
| Practice Address |
1389 W Main St Suite 120 Waterbury CT 06708-3104 |
| Practice Telephone | 2037555555 |
| Practice Fax Number | 2035738523 |
| Mailing Telephone | 2037555555 |
| Mailing Fax Number | 2035738523 |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2015-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
016893 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004085636 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740479443 | Brian Richard Peck | Dentist | 451 Elm Ave, Haddonfield, NJ 08033-2644 | 2007-10-18 |
| 1417982828 | Brian W Peck | Optometrist | 425 So 2nd St, Midwest Vision Clinic Plc, Clinton, IA 52732 | 2006-07-12 |
| 1720622830 | Brian Peck | Chiropractor | 2428 Santa Monica Blvd Ste 308, Santa Monica, CA 90404-2046 | 2019-10-31 |
| 1356743223 | Brian Peck | Psychologist | 18471 Haggerty Rd, Northville, MI 48168-8513 | 2014-09-22 |
| 1447537436 | Brian Peck | Social Worker | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2011-11-04 |
| Street Address |
1389 W MAIN ST SUITE 120 |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-3104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437142551 | Christopher Cronin Randolph | Allergy & Immunology | 1389 W Main St, Suite 205, Waterbury, CT 06708-3104 | 2005-08-24 |
| 1932613312 | Michele M Griffith | Occupational Therapy Assistant | 1389 W Main St, Waterbury, CT 06708-3104 | 2017-11-21 |
| 1548682446 | Arabella Christian | Dentist | 1389 W Main St, #208, Waterbury, CT 06708-3104 | 2014-01-10 |
| 1447688098 | Ajin Mathew | Physician Assistant | 1389 W Main St, Suite 120, Waterbury, CT 06708-3104 | 2013-10-17 |
| 1932456068 | Headzone LLC | Clinic/Center | 1389 W Main St, Suite 325, Waterbury, CT 06708-3104 | 2012-08-08 |
| 1376898676 | Linda Eileen Aspenwind | Counselor | 1389 W Main St, Suite 312, Waterbury, CT 06708-3104 | 2012-07-23 |
| 1427329416 | Sedat S. Shaban, M.d.,p.c. | Pediatrics | 1389 W Main St, Suite 308, Waterbury, CT 06708-3104 | 2012-01-23 |
| 1235407800 | Nancy Dagostino | Social Worker | 1389 W Main St, Suite 312, Waterbury, CT 06708-3104 | 2011-12-09 |
| 1629387097 | Erin Marie Floridia | Physician Assistant | 1389 W Main St, Suite 325, Waterbury, CT 06708-3104 | 2010-10-01 |
| 1780839977 | A.aziz Richi, Md, LLC | Specialist | 1389 W Main St, Suite 322, Waterbury, CT 06708-3104 | 2008-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750601985 | Mirela Nicolescu | Internal Medicine | 3801 E Main St, Waterbury, CT 06705-3815 | 2010-06-10 |
| 1366823783 | Yamini Sachan | Internal Medicine | 56 Franklin Street, Waterbury, CT 06706 | 2015-06-11 |
| 1588851703 | Thomas P. Greco M D P C | Internal Medicine | 133 Scovill St, Suite 306, Waterbury, CT 06706-1127 | 2007-10-02 |
| 1083718464 | Thomas Peter Greco | Internal Medicine | 133 Scovill St, Suite 306, Waterbury, CT 06706-1127 | 2006-09-07 |
| 1245275981 | Arthritis Center of Connecticut. - PC | Internal Medicine | 1389 W Main St, Suite 120, Waterbury, CT 06708-3104 | 2006-06-17 |
| 1619940327 | David N Podell | Internal Medicine | 64 Robbins St, Rheumatology, Third Floor, Waterbury, CT 06708-2613 | 2006-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497270847 | Rheumatology Specialists of Connecticut, Inc. | Internal Medicine | 399 Farmington Ave Ste Ll2, Farmington, CT 06032-1936 | 2017-08-07 |
| 1447706734 | Optimal Health Management, LLC | Internal Medicine | 30 Plum Hill Road, East Lyme, CT 06333-1466 | 2016-08-28 |
| 1861870651 | Anita Christina Chandrasekaran | Internal Medicine | 196 Waterford Pkwy S Ste 201b, Waterford, CT 06385-1234 | 2015-05-12 |
| 1659712099 | Lia Sona Jamian | Internal Medicine | 538 Litchfield St Ste 101, Torrington, CT 06790-6669 | 2013-07-15 |
| 1932544749 | John Emil Zawidniak | Internal Medicine | 183 N Mountain Rd Ste 207, New Britain, CT 06053-4325 | 2013-05-07 |
| 1013258664 | New England Rheumatology LLC | Internal Medicine | 12 Case St Ste 212, Norwich, CT 06360-2222 | 2013-03-06 |
| 1790044030 | Steven John Padula | Internal Medicine | 83 Little Fox Ln, Southbury, CT 06488-4637 | 2012-05-07 |
| 1477820637 | Bruce Henry Littman | Internal Medicine | 28 Prentice Williams Rd, Stonington, CT 06378-1937 | 2011-11-16 |
| 1083907919 | Victor Martin, Md LLC | Internal Medicine | 16 Dales Dr, Woodbridge, CT 06525-2014 | 2011-05-25 |
| 1962791384 | Kofi Agyare Mensah | Internal Medicine | 330 Orchard St Ste 300, New Haven, CT 06511 | 2011-04-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.