Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Boulder Peak Family Practice, Inc

Organization Family Medicine Physician · NPI 1669705042

Boulder Peak Family Practice, Inc is a Family Medicine Physician in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2009.

Licensed in
CO
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

5330 Manhattan Cir # C-2
Boulder, CO 80303-4240
Phone: (303) 543-1111
Fax: (303) 543-1112
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 44052 (CO)

Record details

NPI number1669705042
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Wisner — President · (303) 543-1111
NPI enumeratedSeptember 16, 2009
Last updated in NPPESSeptember 16, 2009
Mailing address5330 Manhattan Cir # C-2, Boulder, CO 80303-4240

Other providers in Boulder