Peter Joseph Buckley Sr., D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

1592 Issued in ME

Practice address

120 Trail Rider LN
Sanford, NC 27332-2524

Phone

(443) 983-3334

NPI assigned

Jul 21, 2006

Last updated

Nov 22, 2010By 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 Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• The Carolinas Emergency Group, PLLC

  • Emergency Medicine Physician
  • Dunn, NC
  • NPI 1477508836
  NPD
• Wilson Emergency Physician Partners PLLC

  • Emergency Medicine Physician
  • Wilson, NC
  • NPI 1851526644
  NPD
• Bluewater Emergency Partners of Brunswick, LLC

  • Emergency Medicine Physician
  • Brunswick, ME
  • NPI 1043640204
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1275553091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 TRAIL RIDER LN",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273322524",
            "telephone_number": "443-983-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 TRAIL RIDER LN",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273322524",
            "telephone_number": "443-983-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "PETER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ME",
            "license": "1592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie A. Brown, NCC,LCMHC ,CTS, DBTC
• Rachel Brown, B.S., PT
• Mya Bryant
• Taylor Jane Bryant, MS CCC-SLP
• Christopher Forbes Buckley, D.O
• Tara S Buckley, RD
• Kelly Dawn Buie Jones, NP-C
• Alfred Sidney B Bunao, MD
• Patricia A. Bunn, LCSWA
• Allison Jane Burbank, M.D.

• Emergency Medicine Physician in Sanford, NC
• Providers in Sanford, NC by specialty
• Emergency Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.