DR. BRADLEY R PETERSON DC
NPI 1790717817
Chiropractor in West Valley City, UT

Q: What is Bradley Peterson's NPI number?

The NPI number for Bradley Peterson is 1790717817. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Q: What is Bradley Peterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bradley 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.

Active since July 07, 2006

1878 W 3600 S, WEST VALLEY CITY, UT 84119(801) 972-1222(801) 972-2134 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Bradley R Peterson Dc NPPES

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

DR. BRADLEY R PETERSON DC (NPI 1790717817) is an individual chiropractor in West Valley City, Utah, licensed in Utah (173700-1202) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1790717817

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. BRADLEY R PETERSONCredential: DC

Location Address1878 W 3600 SWest Valley City, UT 84119-3893

Mailing Address1878 W 3600 SWest Valley City, UT 84119-3893 · (801) 972-1222 · Fax (801) 972-2134

Phone(801) 972-1222

Fax(801) 972-2134

Sole ProprietorNo

Enumeration DateJuly 7, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1790717817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in UT · 173700-1202

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.

1878 W 3600 S, West Valley City, UT 84119

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINT89143UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bradley R Peterson Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Peterson Chiropractic Inc

2.7 mi

Chiropractor

1878 W. 3600 S.
West Valley City, UT 84119

Reassigned Medicare billing, Utah enrollment
3 clinicians in this Medicare group

NPI 1134333669 (801) 972-1222

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 4

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

DR. BARRY T HAIL DC

Chiropractor

1878 W 3600 S
WEST VALLEY CITY, UT 84119

Salt Lake County (801) 972-1222

PETERSON CHIROPRACTIC

Chiropractor

1878 W 3600 S
WEST VALLEY, UT 84119

Salt Lake County (801) 972-1222

DR. ALEC TAYLER RUSSELL DC, MSFN

Chiropractor

1878 W 3600 S
WEST VALLEY CITY, UT 84119

Salt Lake County (801) 972-1222

BLAKE PETERSON DC

Chiropractor

1878 W 3600 S
WEST VALLEY CITY, UT 84119

Salt Lake County (801) 972-1222

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 1790717817. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Bradley Peterson located?

Bradley Peterson practices at 1878 W 3600 S, West Valley City, UT 84119. The listed phone number is (801) 972-1222.

What is Bradley Peterson's specialty?

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

Is Bradley Peterson enrolled in Medicare?

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

Which organization bills Medicare for Bradley Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Peterson reassigns Medicare benefits to Peterson Chiropractic Inc (West Valley City, 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 Bradley Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bradley Peterson accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Bradley 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 Bradley 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.