Active NPI
Peter William Fischer, DO
- Sports Medicine (Family Medicine) Physician
- Camp Lejeune, NC
National Provider Identifier
1477047553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 5101023969
- Practice address
- 100 Brewster Blvd
Camp Lejeune, NC 28547-2575 - Phone
- (989) 750-4717
- NPI assigned
- Jun 21, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 5101023969 | MI | Primary |
Addresses
Primary practice location
100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Mailing address
100 Brewster Blvd
Camp Lejeune, NC 28547-2575
Other practice location 1
G3230 Beecher Rd Ste 2
Flint, MI 48532-3604
Phone (810) 342-5800
Other practice location 2
1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3000
Other practice location 3
1458 W Center Rd Ste 1
Essexville, MI 48732
Phone (989) 895-4625
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1477047553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BREWSTER BLVD",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "285472575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BREWSTER BLVD",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "285472575",
"telephone_number": "989-750-4717"
}
],
"practiceLocations": [
{
"address_1": "G3230 Beecher Rd Ste 2",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485323604",
"country_code": "US",
"telephone_number": "810-342-5800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 Columbus Ave",
"address_purpose": "LOCATION",
"city": "Bay City",
"state": "MI",
"postal_code": "487086831",
"country_code": "US",
"telephone_number": "989-894-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1458 W Center Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Essexville",
"state": "MI",
"postal_code": "48732",
"country_code": "US",
"telephone_number": "989-895-4625",
"fax_number": "989-895-4626",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FISCHER",
"first_name": "PETER",
"middle_name": "WILLIAM",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-21",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "MI",
"license": "5101023969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Lejeune, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.