DR. BRYAN LUCAS PETERSON D.O. NPI 1831436591

NPI Information

  • NPI: 1831436591
  • Provider Name: DR. BRYAN LUCAS PETERSON, D.O.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 722 NEWMAN RD
    NEW BERN, NC
    ZIP 28562
  • Phone: (252) 633-5057

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NPI Details

DR. Bryan Lucas Peterson, D.O. is a diagnostic radiology radiology in New Bern, NC with 14 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Bryan Lucas Peterson, D.O. NPI is 1831436591. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduation Year:2012

The provider's business location address is:

722 NEWMAN RD
NEW BERN, NC
ZIP 28562-238
Phone: (252) 633-5057

The NPI 1831436591 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Screening mammography (HCPCS:77067)
  • Screening 3d breast mammography (HCPCS:77063)
  • Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)

The enumeration date for this NPI number is 1/14/2013 and was last updated on 11/29/2023.

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 RadiologyUO3382FLORIDANo
22085R0202XRadiologyDiagnostic RadiologyOS14808FLORIDAYes
32085R0202XRadiologyDiagnostic Radiology2020-04511NORTH CAROLINANo
4208D00000XGeneral PracticeUO3382FLORIDANo

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: 11/21/2025

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