TIMOTHY BRYAN PEKARI DSC-PA NPI 1720361405

NPI Information

  • NPI: 1720361405
  • Provider Name: TIMOTHY BRYAN PEKARI, DSC-PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2446 RESEARCH PKWY STE 200
    COLORADO SPRINGS, CO
    ZIP 80920
  • Phone: (719) 623-1050

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NPI Details

Timothy Bryan Pekari, DSC-PA is a surgical physician assistant in Colorado Springs, CO with 10 years of experience. Timothy Bryan Pekari, DSC-PA NPI is 1720361405. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:2016

The provider's business location address is:

2446 RESEARCH PKWY STE 200
COLORADO SPRINGS, CO
ZIP 80920-087
Phone: (719) 623-1050
Fax: (719) 623-1051

The NPI 1720361405 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/20/2011 and was last updated on 9/18/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant1098276NORTH CAROLINANo
2363AS0400XPhysician AssistantSurgicalPA61663743WASHINGTONNo
3363A00000XPhysician AssistantPA10199TEXASNo
4363AS0400XPhysician AssistantSurgicalPA0005635COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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