Provider Demographics
NPI:1700182839
Name:PEAK MEDICAL PARTNERS, LLC
Entity Type:Organization
Organization Name:PEAK MEDICAL PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAPPERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-456-9250
Mailing Address - Street 1:1101 S COLLEGE RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-3038
Mailing Address - Country:US
Mailing Address - Phone:337-456-9250
Mailing Address - Fax:337-456-9251
Practice Address - Street 1:1101 S COLLEGE RD
Practice Address - Street 2:SUITE 206
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3038
Practice Address - Country:US
Practice Address - Phone:337-456-9250
Practice Address - Fax:337-456-9251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-08
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty