BRENDA S PEACOCK MD NPI 1942287271

NPI Information

  • NPI: 1942287271
  • Provider Name: BRENDA S PEACOCK, MD
  • Classification: Obstetrics & Gynecology - 207VG0400X
  • Specialization: Gynecology
  • Entity Type: Individual
  • Address: 1204 BROWN ST
    WASHINGTON, NC
    ZIP 27889
  • Phone: (252) 946-6544

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NPI Details

Brenda S Peacock, MD is a gynecology obstetrics gynecology in Washington, NC. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee Brenda S Peacock, MD NPI is 1942287271. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1204 BROWN ST
WASHINGTON, NC
ZIP 27889-671
Phone: (252) 946-6544
Fax: (252) 975-6540

The enumeration date for this NPI number is 12/28/2005 and was last updated on 8/23/2012.

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
1207VG0400XObstetrics & GynecologyGynecology32556NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18966356MEDICAIDNORTH CAROLINA
2213040MEDICARE ID-TYPE UNSPECIFIED
3D05585MEDICARE UPIN

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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