Bradley R Peterson (NPI# 1730132820, PAC ID# 1951597137) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1730132820 |
| PAC ID by PECOS | 1951597137 |
| Professional Enrollment ID | I20101130000843 |
| Full Name | Bradley R Peterson |
| Organization Legal Name | PATHOLOGY CONSULTANTS OF WESTERN MONTANA PC |
| Address |
500 W Broadway St Missoula MT 59802-4008 |
| Phone Number | 4065524994 |
| Gender | M |
| Medical School | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 2769377548 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 270023 | COMMUNITY MEDICAL CENTER |
| 270014 | ST. PATRICK HOSPITAL |
| 271340 | MARCUS DALY MEMORIAL HOSPITAL - CAH |
| 271325 | ST LUKE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 500 W Broadway St, Missoula, MT 59802-4008 | 4065524994 | PATHOLOGY CONSULTANTS OF WESTERN MONTANA PC |
| Organization Legal Name | PATHOLOGY CONSULTANTS OF WESTERN MONTANA PC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carl J Muus | Pathology | Pathology Consultants of Western Montana PC | 500 W Broadway St, Missoula, MT 59802-4008 |
| Nicole M Finke | Pathology | Pathology Consultants of Western Montana PC | 500 W Broadway St, Missoula, MT 59802-4008 |
| Christopher M Sjostrom | Pathology | Pathology Consultants of Western Montana PC | 500 W Broadway St, Missoula, MT 59802-4008 |
| Karra M Markley | Pathology | Pathology Consultants of Western Montana PC | 500 W Broadway St, Missoula, MT 59802-4008 |
| Kristine K Krager Muus | Pathology | Pathology Consultants of Western Montana PC | 500 W Broadway St, Missoula, MT 59802-4008 |
| Jill M Miller | Pathology | Pathology Consultants of Western Montana PC | 500 W Broadway St, Missoula, MT 59802-4008 |
| Adam A Vanregenmorter | Pathology | Pathology Consultants of Western Montana PC | 500 W Broadway St, Missoula, MT 59802-4008 |
| Street Address |
500 W BROADWAY ST |
| City | MISSOULA |
| State | MT |
| Zip | 59802-4008 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig H Mchood | Family Medicine | Western Montana Clinic PC | 500 W Broadway St, Missoula, MT 59802-4008 |
| Catherine S Gilbert | Physical Therapy | Western Montana Clinic PC | 500 W Broadway St, Missoula, MT 59802-4008 |
| John D A Lakatua | Nephrology | Providence Health and Services Mt | 500 W Broadway St, Missoula, MT 59802-4008 |
| Charles J Swannack | General Surgery | Providence Health and Services Mt | 500 W Broadway St, Missoula, MT 59802-4008 |
| Carl J Muus | Pathology | Pathology Consultants of Western Montana PC | 500 W Broadway St, Missoula, MT 59802-4008 |
| Christopher B Goodavish | Physician Assistant | Providence Health and Services Mt | 500 W Broadway St, Missoula, MT 59802-4031 |
| Daniel M Gee | Emergency Medicine | Providence Health and Services Mt | 500 W Broadway St, Missoula, MT 59802-4008 |
| Jeffrey A Stephenson | Radiation Oncology | Providence Health and Services Mt | 500 W Broadway St, Missoula, MT 59802-4008 |
| Nicole M Finke | Pathology | Pathology Consultants of Western Montana PC | 500 W Broadway St, Missoula, MT 59802-4008 |
| Blythe Kaufmann Belzer | Internal Medicine | Providence Health and Services Mt | 500 W Broadway St, Missoula, MT 59802-4008 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul J Mann | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Laura E Marx | Nurse Practitioner | 825 W Kent Ave, Missoula, MT 59802 | |
| Ragna M Thorne-thomsen | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Aric A Thorne-thomsen | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Megan Sproull | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Noah M Bray | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Robert J Gillespie | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Carissa A Benjamin | Physical Therapy | Axis Physical Therapy | 301 E Broadway, Missoula, MT 59802 |
| Danielle Chapin | Physician Assistant | Partnership Health Center Inc | 1150 Sherwood St, Missoula, MT 59802-2377 |
| Angela Marie Ireland | Physician Assistant | Partnership Health Center Inc | 1150 Sherwood St, Missoula, MT 59802-2377 |
| Find all physicians in zip 59802 | |||
| City | MISSOULA |
| Zip Code | 59802 |
| Specialty | PATHOLOGY |
| City + Specialty | MISSOULA + PATHOLOGY |
Please comment or provide details below to improve the information on Bradley R Peterson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.