BREANNA PETERSON D.O. – NPI #1013399112
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

BREANNA PETERSON is a physician located in PRINCETON, MN. NPPES has assigned the NPI number 1013399112 to BREANNA PETERSON on June 24, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 7 years ago on Sep 12, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BREANNA PETERSON below.

NPI Profile for
BREANNA PETERSON

NPI Number
1013399112
Enumeration Date

(about 11 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
BREANNA PETERSON
Credentials
D.O.
Primary location
911 NORTHLAND DR
PRINCETON, MN 55371
Phone: (763) 389-1313 Fax:
1 Other location(s):
2345 Dougherty Ferry Rd
Saint Louis, MO 63122-3313
Phone: (314) 966-9491
Mailing address
400 STINSON BLVD
MINNEAPOLIS, MN 55413-2614
Phone: Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
MN 66330
207Q00000X
- Family Medicine
MN 66330

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
BREANNA PETERSON is affiliated with the following medical group(s):
  • HOSPITAL
    • FAIRVIEW NORTHLAND REGIONAL HOSPITAL
      911 NORTHLAND DR
      PRINCETON, MN 55371
    • NORTH MEMORIAL HEALTH HOSPITAL
      3300 OAKDALE NORTH
      ROBBINSDALE, MN 55422

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.