MEDICARE: DR. BRAD PETERSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	9730	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730132820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRAD PETERSON M.D.

Provider Business Mailing Address
First Line	:	PO BOX 30382
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59107-0382
Country	:	US
Telephone Number	:	888-843-8475
Fax Number	:	314-849-6395

Provider Business Practice Location Address
First Line	:	2827 FORT MISSOULA ROAD
Second Line	:	COMMUNITY MEDICAL CENTER, DEPT. OF PATHOLOGY
City	:	MISSOULA
State	:	MT
Zip	:	59804-7408
Country	:	US
Telephone Number	:	406-327-4330
Fax Number	:	406-327-4515

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	09/14/2016

Similar Medicare Providers

1699441030 — HANNAH NORTHROP DPT
Practice Location Address:

2827 FORT MISSOULA RD
MISSOULA, MT
59804-7408

Practice Phone: 406-728-4100
Practice Fax:

1073597639 — DR. VERN HICKS HORTON MD
Practice Location Address:

2827 FORT MISSOULA RD , COMMUNITY MEDICAL CENTER
MISSOULA, MT
59804-7408

Practice Phone: 406-728-4100
Practice Fax: 406-327-4502

1639158645 — BIG SKY SURGERY CENTER, LLC
Practice Location Address:

2833 FORT MISSOULA RD
MISSOULA, MT
59804-7408

Practice Phone: 406-542-6559
Practice Fax: 406-542-9040

1396711396 — COMMUNITY MEDICAL CENTER INC
Practice Location Address:

2827 FORT MISSOULA RD
MISSOULA, MT
59804-7408

Practice Phone: 406-728-4100
Practice Fax:

1922056621 — MONTANA HEART CENTER CARDIOLOGY, PLLC
Practice Location Address:

2827 FORT MISSOULA RD
MISSOULA, MT
59804-7408

Practice Phone: 406-541-7139
Practice Fax: 406-541-7143

1508810045 — DR. ROBERT R ROEPER D.O.
Practice Location Address:

2827 FORT MISSOULA RD
MISSOULA, MT
59804-7408

Practice Phone: 406-327-4171
Practice Fax:

Directions to “ DR. BRAD PETERSON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.