DR. BRUCE ALLEN PETERSON (NPI# 1467557645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467557645 |
| Entity Type | Individual |
| Full Name | DR. BRUCE ALLEN PETERSON |
| Credential | DC |
| Practice Address |
2599 White Bear Ave N Maplewood MN 55109-5171 |
| Practice Telephone | 6517798115 |
| Practice Fax Number | 6517799319 |
| Mailing Telephone | 6517798115 |
| Mailing Fax Number | 6517799319 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2446 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS | 59434PE | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942577671 | Bruce D. Peterson | Marriage & Family Therapist | 558 Neponset St, Norwood, MA 02062-5202 | 2011-11-23 |
| 1578691820 | Bruce B Peterson | Optometrist | 1134 S Roselle Rd, Schaumburg, IL 60193-4072 | 2007-03-01 |
| 1679631253 | Bruce L Peterson | Dentist | 1790 E Bridge St, Brighton, CO 80601-1934 | 2006-12-05 |
| 1538177530 | Bruce Douglas Peterson | Chiropractor | 18080 San Ramon Valley Blvd, Suite 102, San Ramon, CA 94583-4434 | 2006-08-04 |
| 1306844063 | Bruce E Peterson | Physical Therapist | 625 9th Avenue, Suite 220, Longview, WA 98632-2544 | 2005-07-07 |
| 1063531481 | Bruce Michael Peterson | Dentist | 607 Donna Way, San Jacinto, CA 92583-5517 | 2007-03-28 |
| 1518022912 | Bruce A Peterson | Dentist | 2917 17th St, Rock Island, IL 61201-5382 | 2006-12-26 |
| 1780768937 | Bruce A Peterson | Internal Medicine | University of Minnesota Physicians, 420 Delaware Street Se, Minneapolis, MN 55455 | 2006-10-24 |
| 1821108010 | Bruce P. Peterson | Pediatrics | 5000 Prairie Rose Dr, Roscoe, IL 61073-7792 | 2006-08-30 |
| Street Address |
2599 WHITE BEAR AVE N |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-5171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437290871 | Peterson Chiropractic Center | Chiropractor | 2599 White Bear Ave N, Maplewood, MN 55109-5171 | 2007-02-09 |
| 1396803086 | Maplewood Podiatry Clinic, Pa | Podiatrist | 2599 White Bear Ave N, Maplewood, MN 55109-5171 | 2006-12-05 |
| 1326084112 | Calvin T Nguyen | Chiropractor | 2599 White Bear Ave N, Maplewood, MN 55109-5171 | 2006-06-21 |
| 1548205511 | Megan Grace Lawton | Podiatrist | 2599 White Bear Ave N, Maplewood, MN 55109-5171 | 2006-06-16 |
| 1144226200 | Gregory Eugene Eastlund | Chiropractor | 2599 White Bear Ave N, Maplewood, MN 55109-5171 | 2005-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972162550 | Jeffrey Andrew Mcdonald | Chiropractor | 2785 White Bear Ave N Ste 108a, Maplewood, MN 55109-1320 | 2019-06-07 |
| 1316410939 | Chee Laura Ly | Chiropractor | 1324 Pine Tree Dr, Maplewood, MN 55119-3163 | 2019-01-07 |
| 1992085690 | Jason Michael Schwietz | Chiropractor | 1900 County Road D E Ste 150, Maplewood, MN 55109-5009 | 2011-08-25 |
| 1326378902 | Michelle Marie Roseberry | Chiropractor | 2551 Bredell Ave, Maplewood, MO 63143-1807 | 2010-01-05 |
| 1912192691 | Chad Richard Young | Chiropractor | 2785 White Bear Ave N Ste 108, Maplewood, MN 55109-1320 | 2007-09-06 |
| 1942494976 | Gregory Foster Kleinschmidt | Chiropractor | 2716 Sutton Blvd, Maplewood, MO 63143-3036 | 2007-09-03 |
| 1750590774 | American Back Center | Chiropractor | 44 Schaeffer Rd, Maplewood, NJ 07040-3322 | 2007-05-22 |
| 1902019748 | Alana Lois Altnow | Chiropractor | 2225 White Bear Ave N, Maplewood, MN 55109-2700 | 2007-05-08 |
| 1396868378 | Donna L Sands | Chiropractor | 149 Oakview Ave, Maplewood, NJ 07040-2323 | 2007-04-06 |
| 1679698138 | Scott William Poeschel | Chiropractor | 2085 County Road D E, Suite A100, Maplewood, MN 55109-5363 | 2007-03-20 |
| Find all providers in MAPLEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.