Brian Lee Peterson, M.D.

Primary specialty

Forensic Pathology PhysicianTaxonomy code 207ZF0201X

License

G48918 Issued in CA

Practice address

933 W Highland Ave
Milwaukee, WI 53233-1445

Phone

(414) 223-1216

Fax

(414) 223-1237

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1962434951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 W HIGHLAND AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331445",
            "telephone_number": "414-223-1216",
            "fax_number": "414-223-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 W HIGHLAND AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331445",
            "telephone_number": "414-223-1216",
            "fax_number": "414-223-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "BRIAN",
        "middle_name": "LEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "CA",
            "license": "G48918",
            "primary": true
        },
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "WI",
            "license": "49701-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Peterson
• Ashlee Anne Peterson, RD
• Audrey J Peterson, APNP
• Boyd M Peterson, DC
• Bradley A Peterson, M.D.
• Carly Peterson, PHD, LP
• Carrie Peterson
• Carrie Yvonne Peterson, MD
• Chad Michael Peterson
• Daisy Peterson, PHARMD

• Forensic Pathology Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Forensic Pathology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.