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BRYAN J PETERSON CRNA
NPI 1578574489
Anesthesiology in Ogden, UT

Active since August 10, 2006PECOS Enrolled
5475 S 500 E, OGDEN, UT 84405(800) 880-3566(801) 733-5872 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Bryan J Peterson Crna NPPES

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

BRYAN J PETERSON CRNA (NPI 1578574489) is an individual anesthesiology provider in Ogden, Utah, licensed in Utah (96-321407-1205) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578574489
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameBRYAN J PETERSONCredential: CRNA
Location Address5475 S 500 EOgden, UT 84405-6905
Mailing Address1954 Fort Union Blvd Ste 106Salt Lake City, UT 84121-6890
Phone(800) 880-3566
Fax(801) 733-5872
Sole ProprietorNo
Enumeration DateAugust 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1578574489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in UT · 96-321407-1205
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
5475 S 500 E, Ogden, UT 84405
Open in Google Maps ↗

Other Identifiers 10

Other68295UT · Pehp
Medicare UPING04278UT
Other581710UT · Deseret Mutual
Other219504UT · Altius
Other561586UT · Cigna
Other870458780PE1UT · Educators Mutual
Other52186UT · Healthy U
Other107007919103UT · Ihc
OtherPR00532UT · Molina
Other2000026UT · United Healthcare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan J Peterson Crna 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.

Medicare Billing Reassignment

Medicare enrollment records show Bryan Peterson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nph Anesthesia Of Utah, LLC
0.6 mi
Anesthesiology
5475 S 500 E
Ogden, UT 84405
  • Reassigned Medicare billing, Utah enrollment
  • 164 clinicians in this Medicare group
NPI 1366077273 (469) 505-1609

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

TERRELL DANIEL REES PHARMD
Pharmacist (Critical Care)
5475 S 500 E
OGDEN, UT 84405
Weber County (801) 479-2171
JENNY L COLE CRNA
Nurse Anesthetist, Certified Registered
5475 S 500 E
OGDEN, UT 84405
Weber County (800) 880-3566
COLUMBIA OGDEN MEDICAL CENTER, INC.
Rehabilitation Unit
5475 S 500 E
OGDEN, UT 84405
Weber County (801) 479-2111
JOSEPH REYNA CRNA
Nurse Anesthetist, Certified Registered
5475 S 500 E
OGDEN, UT 84405
Weber County (801) 479-2468
CHARITY BUSHATI DNP
Nurse Practitioner (Neonatal)
5475 S 500 E
OGDEN, UT 84405
Weber County (801) 479-2111
PEGGY MARIA BODAMER RN
Registered Nurse (Neonatal Intensive Care)
5475 S 500 E
OGDEN, UT 84405
Weber County (801) 479-2560
MARCIANA MAE TWITCHELL PHARMD
Pharmacist
5475 S 500 E
OGDEN, UT 84405
Weber County (801) 479-2170
ALICIA RYLANDS RN
Registered Nurse
5475 S 500 E
OGDEN, UT 84405
Weber County (801) 479-2111

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 Bryan Peterson's NPI number?

The NPI number for Bryan Peterson is 1578574489. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Bryan Peterson located?

Bryan Peterson practices at 5475 S 500 E, Ogden, UT 84405. The listed phone number is (800) 880-3566.

What is Bryan Peterson's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Bryan Peterson enrolled in Medicare?

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

Which organization bills Medicare for Bryan Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Peterson reassigns Medicare benefits to Nph Anesthesia Of Utah, LLC (Ogden, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bryan Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bryan Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.