MEDICARE: PEAK NEUROLOGY CORP PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician

General Provider Information

NPI Number	:	1700749835
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEAK NEUROLOGY CORP PC

Provider Business Mailing Address
First Line	:	5770 FLINTRIDGE DRIVE
Second Line	:	STE 100
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-1870
Country	:	US
Telephone Number	:	719-445-9902
Fax Number	:	719-387-0312

Provider Business Practice Location Address
First Line	:	6285 LEHMAN DRIVE
Second Line	:	#100
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-1497
Country	:	US
Telephone Number	:	719-445-9902
Fax Number	:	719-387-0312

Authorized Official
Title or Position	:	OWNER-PHYSICIAN
Name	:	BRAD PRIEBE
Credential	:	D.O.
Telephone Number	:	719-445-9902

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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Directions to “PEAK NEUROLOGY CORP PC ” Practice Location

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