Brad Peterson, DVM

Primary specialty

VeterinarianTaxonomy code 174M00000X

License

3869 Issued in WA

Practice address

8714 N Division St
Spokane, WA 99218-1106

Phone

(509) 467-5230

Fax

(509) 467-1103

NPI assigned

Jun 29, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Joe Peterson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1003103979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8714 N DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181106",
            "telephone_number": "509-467-5230",
            "fax_number": "509-467-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8714 N DIVISION ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181106",
            "telephone_number": "509-467-5230",
            "fax_number": "509-467-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BRAD",
        "name_prefix": "Dr.",
        "credential": "DVM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "WA",
            "license": "3869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOE",
            "last_name": "PETERSON",
            "prefix": "DR.",
            "credential": "DVM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexandra Rae Peterson
• Altari Sunra Peterson, LMP
• Amanda Peterson, RN
• Ansley Autumn Peterson, MSW
• Arnold G Peterson, M.D.
• Christine D Peterson, CRNA
• Claire Peterson
• Cornelius R Peterson, MD
• Courtney Lyn Peterson, ARNP
• Craig M Peterson, PT

• Veterinarian in Spokane, WA
• Providers in Spokane, WA by specialty
• Veterinarian in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.