DR. BRIAN JON PETERSBURG D.D.S.
NPI 1083734958
Dentist - General Practice in Brighton, MI

Active since April 02, 2007PECOS Enrolled
8641 W GRAND RIVER AVE, SUITE 6, BRIGHTON, MI 48116(810) 227-4224(810) 227-4660 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Brian Jon Petersburg D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN JON PETERSBURG D.D.S. (NPI 1083734958) is an individual general practice provider in Brighton, Michigan, licensed in Michigan (2901010174) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083734958
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BRIAN JON PETERSBURGCredential: D.D.S.
Location Address8641 W GRAND RIVER AVE, SUITE 6Brighton, MI 48116-4353
Mailing Address6355 Brighton RdBrighton, MI 48116-9742 · (810) 227-5874 · Fax (810) 227-5898
Fax(810) 227-4660
Sole ProprietorYes
Enumeration DateApril 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1083734958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 2901010174
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

8641 W GRAND RIVER AVE, Brighton, MI 48116

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Brian Jon Petersburg D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
8641 W GRAND RIVER AVE
BRIGHTON, MI 48116
Obstetrics & Gynecology
8641 W GRAND RIVER AVE, SUITE 4
BRIGHTON, MI 48116
Dentist (General Practice)
8641 W GRAND RIVER AVE, SUITE 6
BRIGHTON, MI 48116
Dentist
8641 W GRAND RIVER AVE, SUITE 7
BRIGHTON, MI 48116
Dentist (General Practice)
8641 W GRAND RIVER AVE, SUITE 3
BRIGHTON, MI 48116
Family Medicine
8641 W GRAND RIVER AVE, SUITE 4
BRIGHTON, MI 48116
Dentist
8641 W GRAND RIVER AVE, SUITE 6
BRIGHTON, MI 48116
Dentist (General Practice)
8641 W GRAND RIVER AVE, SUITE 3
BRIGHTON, MI 48116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Petersburg's NPI number?

The NPI number for Brian Petersburg is 1083734958. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Brian Petersburg located?

Brian Petersburg practices at 8641 W Grand River Ave Suite 6, Brighton, MI 48116. The listed phone number is (810) 227-4224.

What is Brian Petersburg's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Brian Petersburg enrolled in Medicare?

Yes. Brian Petersburg is registered in the Medicare PECOS enrollment system.

What insurance does Brian Petersburg accept?

Health plans from Delta Dental of Michigan and Humana list Brian Petersburg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Petersburg was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.