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BRAD NIEL PETERSON D.C.
NPI 1659390417
Chiropractor in South Jordan, UT

Active since July 19, 2006Accepts Medicare Assignment
10358 S REDWOOD RD, SOUTH JORDAN, UT 84095(801) 254-9400(801) 254-5739 Get Directions Write a Review

NPPES record last updated: December 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brad Niel Peterson D.c. NPPES

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

BRAD NIEL PETERSON D.C. (NPI 1659390417) is an individual chiropractor in South Jordan, Utah, licensed in Utah (176210-1202) and active in the NPI registry since July 2006. He is a graduate of Western States College Of Chiropractic (1991).

NPPES Registry Identity

NPI1659390417
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameBRAD NIEL PETERSONCredential: D.C.
Location Address10358 S REDWOOD RDSouth Jordan, UT 84095-9339
Mailing Address10358 S Redwood RdSouth Jordan, UT 84095-9339 · (801) 254-9400 · Fax (801) 254-5739
Phone(801) 254-9400
Fax(801) 254-5739
Sole ProprietorNo
Medical School CMSWestern States College Of ChiropracticGraduated 1991
Enumeration DateJuly 19, 2006
Last NPPES UpdateDecember 16, 2010
✔ NPI 1659390417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in UT · 176210-1202
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
10358 S REDWOOD RD, South Jordan, UT 84095
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Other Identifiers 9

Medicare UPIN238868UT
Medicare UPIN841391385UT
Medicare UPIN332429UT
Other612239UT · United Healthcare
Medicaid870503754002UT
Medicare UPIN28813UT
Medicare UPIN238865UT
Medicare UPIN107001749101UT
Medicare ID-Type Unspecified000056028UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan, Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brad Niel Peterson D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426246893
PECOS Enrollment IDI20101229000666

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
193 services62 patients

Other Providers at the Same Location NPPES 2

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

DR. BRANDON LAMONT NEFF D.C.
Chiropractor
10358 S REDWOOD RD
SOUTH JORDAN, UT 84095
Salt Lake County (801) 254-6697
MICHEAL BLACK L.M.T.
Massage Therapist
10358 S REDWOOD RD
SOUTH JORDAN, UT 84095
Salt Lake County (801) 253-3158

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 Brad Peterson's NPI number?

The NPI number for Brad Peterson is 1659390417. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Brad Peterson located?

Brad Peterson practices at 10358 S Redwood Rd, South Jordan, UT 84095. The listed phone number is (801) 254-9400.

What is Brad Peterson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Brad Peterson enrolled in Medicare?

Yes. Brad Peterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brad Peterson accept?

Health plans from Providence Health Plan, Select Health and University of Utah Health Plans list Brad Peterson 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 Brad Peterson was last updated on December 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.