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BRUCE P. PETERSON MD
NPI 1821108010
Pediatrics in Roscoe, IL

Active since August 30, 2006
5000 PRAIRIE ROSE DR, ROSCOE, IL 61073(815) 971-2000 Get Directions Write a Review

NPPES record last updated: January 29, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bruce P. Peterson Md NPPES

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

BRUCE P. PETERSON MD (NPI 1821108010) is an individual pediatrics provider in Roscoe, Illinois, licensed in Illinois (036-053478) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1821108010
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameBRUCE P. PETERSONCredential: MD
Location Address5000 PRAIRIE ROSE DRRoscoe, IL 61073-7792
Mailing Address5000 Prairie Rose DrRoscoe, IL 61073-7792 · (815) 971-2000
Phone(815) 971-2000
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 29, 2010
✔ NPI 1821108010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036-053478
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5000 PRAIRIE ROSE DR, Roscoe, IL 61073
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Other Identifiers 3

Medicare PIN933580IL
Medicare UPINA01335IL
Medicaid036053478IL

Other Providers at the Same Location NPPES 9

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

GREGORY S. GRANZEIER DO
Obstetrics & Gynecology
5000 PRAIRIE ROSE DR
ROSCOE, IL 61073
Winnebago County (815) 971-2000
DR. RANA ABDUL-KHALEK MD
Obstetrics & Gynecology
5000 PRAIRIE ROSE DR
ROSCOE, IL 61073
Winnebago County (815) 971-2000
JANE TAYLOR MD
Pediatrics
5000 PRAIRIE ROSE DR
ROSCOE, IL 61073
Winnebago County (815) 971-2000
DAVID L. HANSEN MD
Internal Medicine
5000 PRAIRIE ROSE DR
ROSCOE, IL 61073
Winnebago County (815) 971-2000
MRS. MELISSA NICOLE NORMOYLE APRN
Nurse Practitioner (Family)
5000 PRAIRIE ROSE DR
ROSCOE, IL 61073
Winnebago County (815) 971-2000
DANIEL EBERDT FNP-C
Nurse Practitioner
5000 PRAIRIE ROSE DR
ROSCOE, IL 61073
Winnebago County (815) 971-2000
DUSICA SEKULIC MD
Internal Medicine
5000 PRAIRIE ROSE DR
ROSCOE, IL 61073
Winnebago County (815) 971-2000
KAREN L RADTKE NP
Nurse Practitioner (Adult Health)
5000 PRAIRIE ROSE DR
ROSCOE, IL 61073
Winnebago County (815) 971-2000

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 Bruce Peterson's NPI number?

The NPI number for Bruce Peterson is 1821108010. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Bruce Peterson located?

Bruce Peterson practices at 5000 Prairie Rose Dr, Roscoe, IL 61073. The listed phone number is (815) 971-2000.

What is Bruce Peterson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Bruce Peterson was last updated on January 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.