Peter Anthony Veneziano, DO

Individual provider Active NPI Internal Medicine Physician · Fort Rucker, AL

NPI 1679567341 · NPPES record last updated May 4, 2026

Key facts

NPI
1679567341
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
DO224 (AL)
Practice address
301 Andrews Ave
Fort Rucker, AL 36362-7193
Phone
(334) 255-7000
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4395OHMDOptometrist
DO224ALMDInternal Medicine Physician
051097GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Rural Health Clinics, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4395 OH
Internal Medicine Physician 207R00000X 051097 GA
Internal Medicine Physician 207R00000X DO224 AL Yes

Addresses

Primary practice location

301 Andrews Ave
Fort Rucker, AL 36362-7193

Mailing address

301 Andrews Ave
Fort Rucker, AL 36362-7193
Phone (334) 255-7000

Other identifiers

IdentifierTypeStateIssuer
009932186MedicaidAL
51529577OtherALBCBS OF ALABAMA

Other providers in Fort Rucker, AL

All providers in Fort Rucker, AL · Internal Medicine Physician in Alabama

Sources for this page

Verify at the official NPI Registry.