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BRADLEY STEINAR PETERSON NPI 1235557638


NPI Information

NPI: 1235557638
Provider Name: BRADLEY STEINAR PETERSON
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Organization: SOUTHEASTERN EMERGENCY PHYSICIANS OF MEMPHIS LLC

PECOS Registration: Yes

Address:
ONE HOSPITAL DRIVE
COLUMBIA, MO
ZIP 65212
Phone: (573) 884-4400
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Bradley Steinar Peterson is an emergency medicine in Columbia, MO with 10 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. Bradley Steinar Peterson NPI is 1235557638. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Graduation Year:2014

The provider's business location address is:

ONE HOSPITAL DRIVE
COLUMBIA, MO
ZIP 65212-001
Phone: (573) 884-4400
Fax: (573) 884-5994

The NPI 1235557638 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/2/2014 and was last updated on 6/3/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency Medicine2019010046MISSOURIYes
2207P00000XEmergency Medicine2016-02478NORTH CAROLINANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.