DOUGLAS PETERSON M.D.
NPI 1720015597
Radiology - Diagnostic Radiology in Bismarck, ND

Active since June 27, 2006
900 E BROADWAY AVE, BISMARCK, ND 58501(701) 530-7000 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Douglas Peterson M.d. NPPES

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

DOUGLAS PETERSON M.D. (NPI 1720015597) is an individual diagnostic radiology provider in Bismarck, North Dakota, licensed in North Dakota (5206) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1720015597
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDOUGLAS PETERSONCredential: M.D.
Location Address900 E BROADWAY AVEBismarck, ND 58501-4520
Mailing AddressPo Box 997Bismarck, ND 58502-0997 · (701) 530-7000
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJuly 22, 2016
NPI 1720015597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in ND · 5206
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
900 E BROADWAY AVE, Bismarck, ND 58501

Other Identifiers 4

OtherP00441490ND · Railroad Medicare
Medicare PINN712635ND
Medicaid1452800ND
Medicare UPIND26212ND

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.

Internal Medicine
900 E BROADWAY AVE
BISMARCK, ND 58501
Anesthesiology
900 E BROADWAY AVE
BISMARCK, ND 58501
Radiology (Diagnostic Radiology)
900 E BROADWAY AVE
BISMARCK, ND 58501
Nurse Practitioner
900 E BROADWAY AVE
BISMARCK, ND 58501
Psychologist
900 E BROADWAY AVE
BISMARCK, ND 58501
Pediatrics
900 E BROADWAY AVE
BISMARCK, ND 58501
Nurse Anesthetist, Certified Registered
900 E BROADWAY AVE
BISMARCK, ND 58501
Internal Medicine
900 E BROADWAY AVE
BISMARCK, ND 58501

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 Douglas Peterson's NPI number?

The NPI number for Douglas Peterson is 1720015597. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Douglas Peterson located?

Douglas Peterson practices at 900 E Broadway Ave, Bismarck, ND 58501. The listed phone number is (701) 530-7000.

What is Douglas Peterson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Douglas Peterson was last updated on July 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.