Individual
DR. BRUCE B PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
10661
FL
208000000X
Pediatrics Physician
Primary
10661
FL
208000000X
Pediatrics Physician
242970
NY
208000000X
Pediatrics Physician
DO 110214
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001203800
—
FL
05
—
248476020
—
MO
05
—
248476038
—
NY
Enumeration date
06/05/2006
Last updated
05/09/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up