Brian R Peterson MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

3139741205 Issued in UT

Legal business name

BRIAN R PETERSON MD PC

Practice address

3584 W 9000 S
Suite 311
West Jordan, UT 84088-4775

Phone

(801) 566-8304

Fax

(801) 566-8330

NPI assigned

Jul 27, 2007

Last updated

Jul 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian R Peterson, MDNPI 1316978687

Title

Sole Proprietor

Phone

(801) 566-8304

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian R Peterson, M.D.

  • Otology & Neurotology Physician
  • West Jordan, UT
  • NPI 1316978687
  Authorized official Same address or phone

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185494400000",
    "number": "1669662532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3584 W 9000 S",
            "address_2": "SUITE 311",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840884775",
            "telephone_number": "801-566-8304",
            "fax_number": "801-566-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3584 W 9000 S",
            "address_2": "SUITE 311",
            "city": "WEST JORDAN",
            "state": "UT",
            "postal_code": "840884775",
            "telephone_number": "801-566-8304",
            "fax_number": "801-566-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN R PETERSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-27",
        "last_updated": "2007-07-27",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "801-566-8304",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "3139741205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kylie Braze
• Regan Breeze
• Brenten C Pugh, MD (Jordan Landing Clinic)
• Alvin Leon Brey, DC
• Brian L Johnson DMD PC (A Dental Touch)
• Bridgeway Health Advisors LLC
• Brightside Oral Surgery LLC
• Courtney R Brinkerhoff
• Joanne Marie Brito-Duran
• Jasmine Britt

• Specialist in West Jordan, UT
• Providers in West Jordan, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.