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

Charles A Peck, MD

Individual provider Ambulatory Surgical Clinic/Center · NPI 1912205840

Charles A Peck, MD is an Ambulatory Surgical Clinic/Center in Broomfield, Colorado. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10901 W 120th Ave
Broomfield, CO 80021-3418
Phone: (720) 304-8941
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X · Licence MD432063 (PA)

Record details

NPI number1912205840
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 1, 2011
Last updated in NPPESMarch 7, 2023
Mailing address2872 Gemini Loop, Broomfield, CO 80023-4678

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