Kenneth Brian Peterson, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

14333 Issued in AZ

Practice address

8757 E Bell Rd
Scottsdale, AZ 85260-1322

Phone

(480) 860-5500

Fax

(480) 860-5511

NPI assigned

Apr 15, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1912140351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8757 E BELL RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601322",
            "telephone_number": "480-860-5500",
            "fax_number": "480-860-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8757 E BELL RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601322",
            "telephone_number": "480-860-5500",
            "fax_number": "480-860-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "KENNETH",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-15",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "14333",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "12173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tristan Peterson-Steinert, LMSW
• Ariana Peterson
• Brian Drew Peterson, M.D.
• Douglas M Peterson, M.D.
• Jennifer Peterson, D.O.
• Kindra Sue Peterson, RD
• Kristen Noel Peterson, FNP-C
• Larry Dean Peterson, D.C.
• Leeanna Peterson, FNP-C
• Lori-Ann Elizabeth Peterson, FNP-C, AGACNP-BC

• Internal Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.