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BRADLEY S PETERSON M.D.
NPI 1093868663
Psychiatry & Neurology - Psychiatry in La Crescenta, CA

Active since January 18, 2007PECOS Enrolled
2612 EL CAMINITO, LA CRESCENTA, CA 91214(914) 582-1905 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bradley S Peterson M.d. NPPES

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

BRADLEY S PETERSON M.D. (NPI 1093868663) is an individual psychiatry provider in La Crescenta, California, licensed in California (G130737) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093868663
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameBRADLEY S PETERSONCredential: M.D.
Location Address2612 EL CAMINITOLa Crescenta, CA 91214-2963
Mailing Address2612 El CaminitoLa Crescenta, CA 91214-2963 · (914) 582-1905
Phone(914) 582-1905
Sole ProprietorYes
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJanuary 13, 2022
NPPES CertifiedJanuary 13, 2022
✔ NPI 1093868663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in CA · G130737✔ Licensed in NY · 221893
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatric UnitTaxonomy 273R00000X · License 221893 (NY)
2612 EL CAMINITO, La Crescenta, CA 91214
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley S Peterson M.d. 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 91214 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

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 Bradley Peterson's NPI number?

The NPI number for Bradley Peterson is 1093868663. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Bradley Peterson located?

Bradley Peterson practices at 2612 El Caminito, La Crescenta, CA 91214. The listed phone number is (914) 582-1905.

What is Bradley Peterson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Bradley Peterson enrolled in Medicare?

Yes. Bradley Peterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bradley Peterson was last updated on January 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.