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Boulder Peak Family Practice, Inc.

Family Medicine Physician in Boulder, CO · enumerated 2009 · authorized official Mark Wisner, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1669705042

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Registry record

Entity type Organization (Type 2)
Legal business name Boulder Peak Family Practice, Inc.
Practice address 5330 Manhattan Cir # C-2, Boulder, CO, 80303
Fax (303) 543-1112
Enumeration date Sep 16, 2009
Last updated in NPPES Sep 16, 2009

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 44052 (CO) Primary

Authorized official

Name Mark Wisner
Title President

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Boulder Peak Family Practice, Inc.?
The NPI for Boulder Peak Family Practice, Inc. is 1669705042, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Boulder Peak Family Practice, Inc.?
NPPES lists Mark Wisner (President) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-09-16.