BRENDON D PETERSON MD
NPI 1639846942
General Practice in San Diego, CA

Active since August 24, 2021
34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-6499 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 11, 2025, Dec 8, 2023, Aug 24, 2021 (3 updates tracked since 2021).

About Brendon D Peterson Md NPPES

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

BRENDON D PETERSON MD (NPI 1639846942) is an individual general practice provider in San Diego, California, licensed in Texas (U5792) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1639846942
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameBRENDON D PETERSONCredential: MD
Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098
Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-1098 · (619) 532-6499
Sole ProprietorNo
Enumeration DateAugust 24, 2021
Last NPPES UpdateAugust 11, 20253 updates tracked since enumeration
NPPES CertifiedAugust 11, 2025
NPI 1639846942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in TX · U5792
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
34800 BOB WILSON DR, San Diego, CA 92134

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.

Nurse Practitioner (Pediatrics)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Nurse's Aide
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Anesthesiology
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Urology (Pediatric Urology)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Emergency Medicine
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider (Independent Duty Corpsman)
34800 BOB WILSON DR
SAN DIEGO, CA 92134
Military Health Care Provider
34800 BOB WILSON DR
SAN DIEGO, CA 92134
General Practice
34800 BOB WILSON DR
SAN DIEGO, CA 92134

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 Brendon Peterson's NPI number?

The NPI number for Brendon Peterson is 1639846942. It was assigned to this individual provider in the NPPES registry on August 24, 2021.

Where is Brendon Peterson located?

Brendon Peterson practices at 34800 Bob Wilson Dr, San Diego, CA 92134. The listed phone number is (619) 532-6499.

What is Brendon Peterson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Brendon Peterson was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.