DOUGLAS PETERSON M.D. NPI 1720015597

NPI Information

  • NPI: 1720015597
  • Provider Name: DOUGLAS PETERSON, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 900 E BROADWAY AVE
    BISMARCK, ND
    ZIP 58501
  • Phone: (701) 530-7000

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NPI Details

Douglas Peterson, M.D. is a diagnostic radiology radiology in Bismarck, ND. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Douglas Peterson, M.D. NPI is 1720015597. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

900 E BROADWAY AVE
BISMARCK, ND
ZIP 58501-520
Phone: (701) 530-7000

The NPI 1720015597 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/27/2006 and was last updated on 7/22/2016.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology5206NORTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00441490OTHERNORTH DAKOTARAILROAD MEDICARE
2N712635MEDICARE PINNORTH DAKOTA
31452800MEDICAIDNORTH DAKOTA
4D26212MEDICARE UPINNORTH DAKOTA

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: 3/30/2025

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