Healthcare Provider Details

I. General information

NPI: 1700749835
Provider Name (Legal Business Name): PEAK NEUROLOGY CORP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6285 LEHMAN DRIVE #100
COLORADO SPRINGS CO
80918-1497
US

IV. Provider business mailing address

5770 FLINTRIDGE DRIVE STE 100
COLORADO SPRINGS CO
80918-1870
US

V. Phone/Fax

Practice location:
  • Phone: 719-445-9902
  • Fax: 719-387-0312
Mailing address:
  • Phone: 719-445-9902
  • Fax: 719-387-0312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: BRAD PRIEBE
Title or Position: OWNER-PHYSICIAN
Credential: D.O.
Phone: 719-445-9902