Brian Peterson, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

074669 Issued in IA

Practice address

302 S Grand Ave
Iowa City, IA 52242-1308

Phone

(319) 335-8703

Fax

(319) 335-8851

NPI assigned

Jul 29, 2025

Last updated

Jul 29, 2025By 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

Enrolled in IA

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• State University of Iowa

  dba University of Iowa Health Care

  • Family Medicine Physician
  • Iowa City, IA
  • NPI 1477554814
  Medicare reassignment Care Compare group NPD
• State University of Iowa

  • Speech-Language Pathologist
  • Iowa City, IA
  • NPI 1689712549
  NPD
• State University of Iowa

  dba Student Health & Wellness

  • Student Health Clinic/Center
  • Iowa City, IA
  • NPI 1285635664
  NPD (past)
• State University of Iowa

  dba University of Iowa Hospitals & Clinics/Air & Mobile Critical Care

  • Ambulance
  • Iowa City, IA
  • NPI 1710988761
  NPD (past)

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1831072610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S GRAND AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421308",
            "telephone_number": "319-335-8703",
            "fax_number": "319-335-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S GRAND AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421308",
            "telephone_number": "319-335-8703",
            "fax_number": "319-335-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BRIAN",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "074669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shandi Peters, BSN-RN, DNP-CRNA
• Emily Nicole Petersen, MD
• Joshua D Petersen, ARNP
• Natalie M Petersen, ARNP
• Andrew R. Peterson, M.D.
• Daniel Joseph Peterson, PHARMD
• Darwin Dean Peterson, D.O.
• Emily Peterson, PHARMD
• Jasmine Andrel Peterson, MD
• Lea Anne Peterson, LMSW

• Speech-Language Pathologist in Iowa City, IA
• Providers in Iowa City, IA by specialty
• Speech-Language Pathologist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.