Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRADLEY S PETERSON, M.D.
Active Sole ProprietorBRADLEY S PETERSON, M.D. is a Psychiatry healthcare provider located in LA CRESCENTA, California. NPI 1093868663 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · LA CRESCENTA, CA
Registration Details
- NPI Number
- 1093868663
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2007 (19.602933188532 yrs)
- Last Updated
- Jan 13, 2022
- Licenses
-
221893 (NY)221893 (NY)G130737 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2612 EL CAMINITOLA CRESCENTA, CA, 912142963Browse CA providers · Browse ZIP 91214
- Phone
- 9145821905
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatric Unit
- Additional Specialty
- Psychiatry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.