Breanna Peterson, D.O.
Emergency Medicine in Princeton, MN. Individual provider (NPI-1).
NPI number1013399112
StatusActive
Last updated in NPPESSep 12, 2019
Details
- NPI
- 1013399112
- Entity type
- Individual (NPI-1)
- Name
- Breanna Peterson
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2015
- Last updated
- Sep 12, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 66330 | MN | Yes |
| 207Q00000X | Family Medicine | 66330 | MN | |
| 207Q00000X | Family Medicine | 2015018606 | MO |
Practice location
911 Northland DrPrinceton, MN 55371
Phone 763-389-1313
Mailing address
400 Stinson BlvdMinneapolis, MN 55413-2614
Other practice locations
2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313
Saint Louis, MO 63122-3313
Phone 314-966-9491
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Emergency Medicine Physician providers in Princeton, MN
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- Roseann Ekstrom, M.D.NPI 1265687438
- Craig S Jones, DONPI 1477073336
- Brendan M Meyer, MDNPI 1366554727
- Brenda Sommerdorf, MDNPI 1457301038
- Jake Neal Tarnowski, MDNPI 1922597707
All 7 Emergency Medicine Physician providers in Princeton · All 294 providers in Princeton
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