Brett Wayne Peterson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3301 Issued in MN

Practice address

130 Willmar Ave SE
Willmar, MN 56201-3484

Phone

(320) 231-1010

Fax

(320) 231-1011

NPI assigned

Jun 16, 2006

Last updated

Jul 13, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acupuncture Chiropractic Clinic LLC

  • Chiropractor
  • Willmar, MN
  • NPI 1720874100
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013951151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 WILLMAR AVE SE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013484",
            "telephone_number": "320-231-1010",
            "fax_number": "320-231-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 WILLMAR AVE SE",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013484",
            "telephone_number": "320-231-1010",
            "fax_number": "320-231-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BRETT",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Marie Pederson, LMFT
• Brandon Pellaton, LICSW
• Jennifer A Pesola, DO
• Lois Ann Peters, BSN, RN, PHN, CLC
• Rebecca Jean Petersen, LPN PE
• Eric Julian Peterson, CRNA,MSN
• Jason D Peterson, D.C.
• Melissa Ann Peterson, LPCC
• Timothy R Pieh, MD
• Joshua Allen Pierskalla, LMFT

• Chiropractor in Willmar, MN
• Providers in Willmar, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.