Bradley A Peterson in Urbana - Emergency Medicine
Bradley A Peterson - NPI 1730145269
Bradley A Peterson is a Emergency Medicine in Urbana, Illinois. Bradley A Peterson practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Bradley A Peterson is 1730145269. The last update date is 2014-05-08.
Bradley A Peterson's current location address is 611 W Park St, Urbana, Illinois. You can contact this provider via phone number 2173836792 and fax number 2173834752. The mailing address for Bradley A Peterson is 611 W Park St, Urbana, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley A Peterson |
|---|---|
| Address | 611 W Park St, Urbana, Illinois |
| Phone Number | 2173836792 |
| Fax Number | 2173834752 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1730145269 |
|---|---|
| Provider Enumeration Date | 2006-04-24 |
| Last Updated Date | 2014-05-08 |
Provider Mailing Address Detail
| Address | 611 W Park St |
|---|---|
| City | Urbana |
| State | Illinois (IL) |
| Post Code | 618012529 |
| Phone Number | 2173836792 |
| Fax Number | 2173834752 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 36109503 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036-109503 | IL | -- |
Post Comment/ Review Below
What is the Bradley A Peterson's unique identification number?
The Bradley A Peterson has been assigned the NPI (National Provider Identifier) Number 1730145269 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Bradley A Peterson is geographically located?
The Bradley A Peterson is physically situated at the following location: 611 W Park St, Urbana, IL, 618012529.
What is the area of specialization for Bradley A Peterson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bradley A Peterson is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207P00000X.
When was the Bradley A Peterson's 1730145269 issued?
The Bradley A Peterson's 1730145269 was issued on 2006-04-24.
As of what date was the information regarding Bradley A Peterson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bradley A Peterson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-05-08.
NPI Number: 1528061793
Address: 103 A South Park Dr., Brownwood, TX