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

Russell Peckham, DO

Individual provider Internal Medicine Physician · NPI 1801816715

Russell Peckham, DO is a Dermatology in Round Rock, Texas. Qualified in 2000, 26 years ago. Practices with Central Texas Community Health Centers, a 164-clinician group. Licensed in Texas and Virginia.

Years since qualifying
26
Licensed in
TX, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

7200 Wyoming Spgs Ste 300
Round Rock, TX 78681-4303
Phone: (512) 910-8800
Fax: (512) 522-4483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence P5120 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence 0102201303 (VA)

Record details

NPI number1801816715
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESAugust 8, 2017
Mailing address7200 Wyoming Spgs, Suite 300, Round Rock, TX 78681-4303

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Central Texas Community Health Centers — 164 clinicians
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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