BRUCE A PETERSON (NPI# 1780768937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780768937 |
| Entity Type | Individual |
| Full Name | BRUCE A PETERSON |
| Credential | MD |
| Practice Address |
University of Minnesota Physicians 420 Delaware Street Se Minneapolis MN 55455 |
| Practice Telephone | 6126255411 |
| Mailing Telephone | 6126255411 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2012-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
20660 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PREFERRED ONE | 1009270 | 01 |
| MN | MEDICA CHOICE | 36-24612 | 01 |
| MN | 990868400 | 05 | |
| MN | MEDICA PRIMARY | 36-00273 | 01 |
| MN | UCARE | 100798 | 01 |
| MN | BLUE CROSS BLUE SHIELD | 2T174PE | 01 |
| MN | HEALTH PARTNERS | HP22238 | 01 |
| MN | ARAZ | 768301 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942577671 | Bruce D. Peterson | Marriage & Family Therapist | 558 Neponset St, Norwood, MA 02062-5202 | 2011-11-23 |
| 1578691820 | Bruce B Peterson | Optometrist | 1134 S Roselle Rd, Schaumburg, IL 60193-4072 | 2007-03-01 |
| 1679631253 | Bruce L Peterson | Dentist | 1790 E Bridge St, Brighton, CO 80601-1934 | 2006-12-05 |
| 1538177530 | Bruce Douglas Peterson | Chiropractor | 18080 San Ramon Valley Blvd, Suite 102, San Ramon, CA 94583-4434 | 2006-08-04 |
| 1306844063 | Bruce E Peterson | Physical Therapist | 625 9th Avenue, Suite 220, Longview, WA 98632-2544 | 2005-07-07 |
| 1063531481 | Bruce Michael Peterson | Dentist | 607 Donna Way, San Jacinto, CA 92583-5517 | 2007-03-28 |
| 1518022912 | Bruce A Peterson | Dentist | 2917 17th St, Rock Island, IL 61201-5382 | 2006-12-26 |
| 1467557645 | Bruce Allen Peterson | Chiropractor | 2599 White Bear Ave N, Maplewood, MN 55109-5171 | 2006-09-13 |
| 1821108010 | Bruce P. Peterson | Pediatrics | 5000 Prairie Rose Dr, Roscoe, IL 61073-7792 | 2006-08-30 |
| Street Address |
UNIVERSITY OF MINNESOTA PHYSICIANS 420 DELAWARE STREET SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679528830 | Sarah A Cooley | Internal Medicine | University of Minnesota Physicians, 420 Delaware St Se, Mmc 136, Minneapolis, MN 55455 | 2006-05-24 |
| 1659877181 | Massimo Griselli | Pediatrics | University of Minnesota Physicians, 500 Harvard Street Se, Minneapolis, MN 55455-0363 | 2018-04-03 |
| 1902201221 | Seena Susan George | Nurse Practitioner | University of Minnesota Physicians, Clinics and Surgery Center, 909 Fulton Street Se, Minneapolis, MN 55455 | 2014-10-29 |
| 1508087511 | Tereza Marta Cervenka | Internal Medicine | University of Minnesota Physicians, 516 Delaware St Se, Clinic 2a, Minneapolis, MN 55455 | 2007-05-01 |
| 1346469970 | Stuart Trent Guthrie | Orthopaedic Surgery | University of Minnesota Physicians, 2512 South 7th St, Suite R102, Minneapolis, MN 55454 | 2007-04-24 |
| 1376668251 | Donavon John Hess | Surgery | University of Minnesota Physicians, 516 Delaware St Se, Room 4-100, Minneapolis, MN 55455 | 2007-03-20 |
| 1891836607 | Leon D Sabath | Internal Medicine | University of Minnesota Physicians, 516 Delaware Street Se Clinic 6b, Minneapolis, MN 55455 | 2007-02-12 |
| 1508907882 | Melanie Jean Hanlon | Nurse Practitioner | University of Minnesota Physicians, 516 Delaware St Se 4-100 Pwb, Clinic 4a, Minneapolis, MN 55455 | 2007-02-09 |
| 1912054214 | Muhammad Fareed Khan Suri | Psychiatry & Neurology | University of Minnesota Physicians, 516 Delaware St Se, Clinic 1a, Minneapolis, MN 55455 | 2007-01-05 |
| 1356404503 | Sue V Petzel | Psychologist | University of Minnesota Physicians, 606 24th Ave S, Suite 300, Minneapolis, MN 55455-5545 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780879940 | Heather Christine Beckwith | Internal Medicine | 424 Harvard St Se Fl 1, Masonic Cancer Center, Minneapolis, MN 55455-0362 | 2007-09-11 |
| 1083648075 | Amy K. Krie | Internal Medicine | 800 E 28th St Ste 404, Minneapolis, MN 55407-3723 | 2006-07-10 |
| 1922083336 | Joseph W Leach | Internal Medicine | 910 E 26th Street #200, Minnesota Oncology Hematology Pa, Minneapolis, MN 55404 | 2005-12-08 |
| 1720212467 | Christian Michael Squillante | Internal Medicine | 800 E 28th St Ste 401, Minneapolis, MN 55407-3723 | 2009-05-11 |
| 1902062433 | Emil Lou | Internal Medicine | 424 Harvard St Se, Masonic Cancer Clinic, University of Minnesota, Minneapolis, MN 55455-0362 | 2008-08-04 |
| 1497845861 | Robert Arthur Kratzke | Internal Medicine | 424 Harvard St Se, Masonic Cancer Center, First Floor, Suite M100, Minneapolis, MN 55455-0362 | 2006-10-13 |
| 1871691709 | Dale E Hammerschmidt | Internal Medicine | 424 Harvard St Se, Masonic Cancer Center, First Floor, Suite M100, Minneapolis, MN 55455-0362 | 2006-09-21 |
| 1578668174 | Kathryn E Dusenbery | Internal Medicine | 500 Harvard St Se, University of Minnesota Physicians, Minneapolis, MN 55455 | 2006-09-14 |
| 1760467427 | Dean H Gesme Jr. | Internal Medicine | 910 E 26th St, Suite 200, Minneapolis, MN 55404-4526 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093160368 | Lee Newcomer | Internal Medicine | 15011 Woods Edge, Minnetonka, MN 55345-2900 | 2016-04-25 |
| 1043423437 | Alexander A Levitan | Internal Medicine | 2051 Long Lake Road, New Brighton, MN 55112-5166 | 2007-05-08 |
| 1972690113 | Gail P. Bender, M.d.,p.a. | Internal Medicine | 6490 Excelsior Blvd Ste W106, St Louis Park, MN 55426-4741 | 2006-10-09 |
| 1255300885 | Nicole L Hartung | Internal Medicine | 110105 Pioneer Trl W Ste 302, Chaska, MN 55318-2680 | 2006-03-16 |
| 1063481190 | Thomas P Ducker | Internal Medicine | 345 Sherman St, Ste 100, Saint Paul, MN 55102-2401 | 2006-03-14 |
| 1346213097 | Bret Edward Buckley Friday | Internal Medicine | 400 East 3rd St, Duluth, MN 55805 | 2006-02-10 |
| 1205827466 | Mark D Hauge | Internal Medicine | 601 W Chandler St, Arlington, MN 55307-2127 | 2005-11-04 |
| 1033110259 | Michael John O'connell | Internal Medicine | 812 Paxton Rd Sw, Rochester, MN 55902-6643 | 2005-08-10 |
| 1902805724 | Bruce Myron Greenfield | Internal Medicine | 2024 South Sixth Street, Brainerd Medical Center, Brainerd, MN 56401 | 2005-07-14 |
| 1023014115 | Charles Leroy Murray | Internal Medicine | 1137 Jackson St S, Shakopee, MN 55379-2042 | 2005-06-22 |
| Find all providers with the same taxonomy | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.