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 provides Family Medicine Physician services 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.

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Practice location Address checks out

5330 Manhattan Cir # C-2
Boulder, CO 80303-4240 Not confirmed with CMS for 17 years — call before visiting
Phone: (303) 543-1111
Fax: (303) 543-1112
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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

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