BRUCE A PETERSON MD NPI 1780768937

NPI Information

NPI: 1780768937
Provider Name: BRUCE A PETERSON, MD
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

PECOS Registration: Yes

Address:
UNIVERSITY OF MINNESOTA PHYSICIANS
420 DELAWARE STREET SE
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 625-5411
Get Directions

Bruce A Peterson, MD is a medical oncology internal medicine in Minneapolis, MN. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. Bruce A Peterson, MD NPI is 1780768937. 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:

UNIVERSITY OF MINNESOTA PHYSICIANS
420 DELAWARE STREET SE
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 625-5411

The NPI 1780768937 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 10/24/2006 and was last updated on 10/26/2012.

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
1	207RX0202X	Internal Medicine	Medical Oncology	20660	MINNESOTA	Yes

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
1	HP22238	OTHER	MINNESOTA	HEALTH PARTNERS
2	110049832	MEDICARE ID-TYPE UNSPECIFIED		RAILROAD
3	100798	OTHER	MINNESOTA	UCARE
4	900000012	MEDICARE ID-TYPE UNSPECIFIED
5	990868400	MEDICAID	MINNESOTA
6	36-00273	OTHER	MINNESOTA	MEDICA PRIMARY
7	768301	OTHER	MINNESOTA	ARAZ
8	A95906	MEDICARE UPIN
9	1009270	OTHER	MINNESOTA	PREFERRED ONE
10	2T174PE	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
11	36-24612	OTHER	MINNESOTA	MEDICA CHOICE

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: 4/28/2024

NPI Synchronization or Removal

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