Bryan Lucas Peterson, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

36552 Issued in MS

Practice address

2520 5TH St N
Columbus, MS 39705-2008

Phone

(662) 244-1584

Fax

(662) 244-2086

NPI assigned

Jan 14, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

Nova Southeastern College of Osteo Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wilmington Health PLLCGroup PAC ID 6103722509, 364 clinicians

Eastern Radiologists IncGroup PAC ID 2466355383, 92 clinicians

Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unc Health Nash Hospital, Rocky Mount, NC, CCN 340147
• Mississippi Baptist Medical Center Hospital, Jackson, MS, CCN 250102
• Baptist Medical Center Attala Hospital, Kosciusko, MS, CCN 251336
• Middlesboro Arh Hospital Hospital, Middlesboro, KY, CCN 180020
• Person Memorial Hospital Hospital, Roxboro, NC, CCN 340159

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles (19 of 21)

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: bryan.peterson.p1@direct.wilmingtonhealth.nextgenshare.com

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.

• Eastern Radiologists Inc

  • Diagnostic Radiology Physician
  • Greenville, NC
  • NPI 1215990171

  FL

  Medicare reassignment Care Compare group NPD
• Wilmington Health PLLC

  • Multi-Specialty Clinic/Center
  • Wilmington, NC
  • NPI 1881632339
  Medicare reassignment Care Compare group NPD
• Unc Physicians Network LLC

  • Family Medicine Physician
  • Pittsboro, NC
  • NPI 1750704367
  Medicare reassignment Care Compare group
• Coastal Radiology Associates, PLLC

  • Diagnostic Radiology Physician
  • New Bern, NC
  • NPI 1144270307

  FL

  Medicare reassignment NPD
• Independent Imaging, LLC

  • Radiology Clinic/Center
  • Fort Lauderdale, FL
  • NPI 1013908912
  Medicare reassignment NPD
• Mori Bean and Brooks Inc

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1093782070

  NC

  Medicare reassignment NPD
• Optumcare New Mexico LLC

  • Family Medicine Physician
  • Albuquerque, NM
  • NPI 1124053210

  FL

  Medicare reassignment NPD
• Pinnacle Healthcare LLC

  • Diagnostic Radiology Physician
  • Lake Havasu City, AZ
  • NPI 1457125288

  FL, NC

  Medicare reassignment NPD
• Southwest Medical Associates, Inc

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1659346005

  FL

  Medicare reassignment NPD
• University of Miami

  • Hepatology Physician
  • Miami, FL
  • NPI 1013967827
  Medicare reassignment NPD
• Appalachian Regional Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Hazard, KY
  • NPI 1558431346

  FL

  Medicare reassignment
• Arh Mary Breckinridge Health Services, Inc.

  • Critical Access Hospital
  • Martin, KY
  • NPI 1306339460

  FL

  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• BMC - Attala, LLC

  • Critical Access Hospital
  • Kosciusko, MS
  • NPI 1730566027
  Care Compare affiliation
• Mississippi Baptist Medical Center, Inc.

  • General Acute Care Hospital
  • Jackson, MS
  • NPI 1710909585
  Care Compare affiliation
• Appalachian Regional Healthcare, Inc

  • Multi-Specialty Clinic/Center
  • Middlesboro, KY
  • NPI 1801403092

  Hospital

  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  • General Acute Care Hospital
  • Middlesboro, KY
  • NPI 1891792495
  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  • Internal Medicine Physician
  • Middlesboro, KY
  • NPI 1932415882

  Hospital

  Care Compare affiliation
• DLP Person Memorial Hospital LLC

  • General Acute Care Hospital
  • Roxboro, NC
  • NPI 1881977593
  Care Compare affiliation
• Nash Hospitals Inc

  • General Acute Care Hospital
  • Rocky Mount, NC
  • NPI 1619969219
  Care Compare affiliation

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1831436591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 N HUMPHREYS BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202177",
            "telephone_number": "901-226-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052008",
            "telephone_number": "662-244-1584",
            "fax_number": "662-244-2086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "722 Newman Rd",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285625238",
            "country_code": "US",
            "telephone_number": "252-633-5057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2633 Traceland Dr",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388014238",
            "country_code": "US",
            "telephone_number": "662-205-4652",
            "fax_number": "662-205-4651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397592163",
            "country_code": "US",
            "telephone_number": "662-323-4230",
            "fax_number": "662-615-2554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392022064",
            "country_code": "US",
            "telephone_number": "601-968-5003",
            "fax_number": "601-974-6245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "823 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391943233",
            "country_code": "US",
            "telephone_number": "662-746-2261",
            "fax_number": "662-746-4839",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 State Highway 30 W",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523112",
            "country_code": "US",
            "telephone_number": "662-538-7631",
            "fax_number": "662-538-2593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Belk Blvd",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386555242",
            "country_code": "US",
            "telephone_number": "662-513-1609",
            "fax_number": "662-232-8555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "504 Azalea Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "MS",
            "postal_code": "386555397",
            "country_code": "US",
            "telephone_number": "662-636-4250",
            "fax_number": "662-636-1698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 E Metro Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392324404",
            "country_code": "US",
            "telephone_number": "662-244-1584",
            "fax_number": "662-244-2086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Highway 16 E",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "MS",
            "postal_code": "390514222",
            "country_code": "US",
            "telephone_number": "601-267-1100",
            "fax_number": "601-267-1469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Highway 12 W",
            "address_purpose": "LOCATION",
            "city": "Kosciusko",
            "state": "MS",
            "postal_code": "390903208",
            "country_code": "US",
            "telephone_number": "662-290-3315",
            "fax_number": "601-974-6245",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 Oxford Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523115",
            "country_code": "US",
            "telephone_number": "662-534-9042",
            "fax_number": "662-534-9707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Doctors Park",
            "address_purpose": "LOCATION",
            "city": "Starkville",
            "state": "MS",
            "postal_code": "397592570",
            "country_code": "US",
            "telephone_number": "662-615-3800",
            "fax_number": "662-615-3807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 City Market Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Saltillo",
            "state": "MS",
            "postal_code": "388667002",
            "country_code": "US",
            "telephone_number": "662-253-8243",
            "fax_number": "662-538-2442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 E Metro Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Flowood",
            "state": "MS",
            "postal_code": "392324404",
            "country_code": "US",
            "telephone_number": "662-244-1584",
            "fax_number": "662-244-2086",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Oxford Rd",
            "address_purpose": "LOCATION",
            "city": "New Albany",
            "state": "MS",
            "postal_code": "386523117",
            "country_code": "US",
            "telephone_number": "300-115-5951",
            "fax_number": "662-534-8132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BRYAN",
        "middle_name": "LUCAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-14",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2020-04511",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "OS14808",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "UO3382",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "UO3382",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "36552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Kay Pennington, NP-C
• Christopher Pennington, FNP-C
• Shemika Peoples, MA
• Perfectly Clear Eye Care, LLC
• Savannah Perkins, CFNP
• Nona Lynn Peterson, LPC
• Thomas C Peterson, LPC
• Abigail Celeste Petty
• Caroline Petty, LCSW
• Dazshea Trinna Petty, CPSS

• Diagnostic Radiology Physician in Columbus, MS
• Providers in Columbus, MS by specialty
• Diagnostic Radiology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.
• 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.