Provider Demographics
NPI:1790985323
Name:PEAKE, JAMES BENJAMIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BENJAMIN
Last Name:PEAKE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7310 ADMIRAL PARK DR
Mailing Address - Street 2:
Mailing Address - City:JONESTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78645-4486
Mailing Address - Country:US
Mailing Address - Phone:202-386-2135
Mailing Address - Fax:
Practice Address - Street 1:7310 ADMIRAL PARK DR
Practice Address - Street 2:
Practice Address - City:JONESTOWN
Practice Address - State:TX
Practice Address - Zip Code:78645-4486
Practice Address - Country:US
Practice Address - Phone:202-386-2135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-22
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0018824208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery