Craig A Peterson, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

00023588 Issued in AL

Practice address

1123 Belleville Avenue
Brewton, AL 36426-1336

Phone

(251) 867-8001

Fax

(251) 867-9643

NPI assigned

Apr 27, 2006

Last updated

Jun 4, 2014By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• DW McMillan Surgical Group LLC

  • Surgery Physician
  • Brewton, AL
  • NPI 1093304644
  NPD (past)
• West Florida Regional Medical Center

  dba Memory Disorder Clinic

  • Internal Medicine Physician
  • Pensacola, FL
  • NPI 1174578579
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1184681967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 384",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364270384",
            "telephone_number": "251-867-8001",
            "fax_number": "251-867-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 BELLEVILLE AVENUE",
            "city": "BREWTON",
            "state": "AL",
            "postal_code": "364261336",
            "telephone_number": "251-867-8001",
            "fax_number": "251-867-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CRAIG",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "00023588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelene Naro
• Robert Scott Nelson, M. D.
• Taylor Ryder Nettles, LPN
• Phillip Livingston Parker
• Patients First Dialysis of Brewton
• Monique Louissiante Pierre-Louis, LPC
• Pineleaf Emergency Physicians LLC
• Lauren Prance, CRNP
• Pulmonary Associates of Mobile, PC
• Raulerson & Raulerson Physicians

• Surgery Physician in Brewton, AL
• Providers in Brewton, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.