DR. BRODERICK ALAN PETERSON (D.C.) – Chiropractor, NPI 1245508720

DR. BRODERICK ALAN PETERSON (D.C.) is a healthcare provider. based in Hopkins, Minnesota. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 6786 (CO). The NPI Number for DR. BRODERICK ALAN PETERSON (D.C.) is 1245508720

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRODERICK ALAN PETERSON (D.C.)
NPI
1245508720
Phone
(303) 827-8490
Address
15 8TH AVE N
Enumeration Date
12 December 2011
Last Update Date
24 September 2013

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
9529335085
Graduation Year
2011 (15 years ago)
PAC ID
0941436331
Group Practice PAC ID
5496703829
Professional Enrollment ID
I20131113000234
Address ID
MN553437611HO15XXXNXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:14State licenses:2Digital endpointsOther names

1,642 CHIROPRACTIC in MN

Provider Addresses for DR. BRODERICK ALAN PETERSON (D.C.)

  • 15 8TH AVE N

    HOPKINS, MN 553437611

    Phone: (303) 827-8490

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131113000234IChiropracticMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions85981$0
View full utilization report →

Insurance plans in this area (ZIP 55343)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496703829View full group profile
NameSpecialtyState
-MN
Physical Therapist In Private PracticeMN
C H I R O P R A C T I CMN
Physical Therapist In Private PracticeMN
-MN
Nurse PractitionerMN
-MN
-MN
C H I R O P R A C T I CMN
C H I R O P R A C T I CMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is DR. BRODERICK ALAN PETERSON (D.C.) listed with a National Provider Identifier?
Yes — DR. BRODERICK ALAN PETERSON (D.C.) has NPI 1245508720 on file in the registry.
Active or inactive — what applies to DR. BRODERICK ALAN PETERSON (D.C.)?
You should see DR. BRODERICK ALAN PETERSON (D.C.) as active in CMS-hosted NPPES data.
How would a patient describe DR. BRODERICK ALAN PETERSON (D.C.)'s focus?
For DR. BRODERICK ALAN PETERSON (D.C.), the primary taxonomy reads as Chiropractor. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. BRODERICK ALAN PETERSON (D.C.)?
Directory geography for DR. BRODERICK ALAN PETERSON (D.C.) centers on Hopkins, Minnesota.
Can I trust this NPI listing for DR. BRODERICK ALAN PETERSON (D.C.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

Similar Providers

Redbird Wellness

Chiropractor
7900 EXCELSIOR BLVD STE 100
NPI: 1679534812
8534, Excelsior Boulevard, Hopkins, Hennepin County, Minnesota, 55343, United States
NPI: 1609830082
8534, Excelsior Boulevard, Hopkins, Hennepin County, Minnesota, 55343, United States
NPI: 1649234030
17 TENTH AVE S
NPI: 1205894672
17 TENTH AVE S
NPI: 1932167301

HOPKINS SPINAL CARE P.A.

Physical Therapist
10907, Excelsior Boulevard, Hopkins, Hennepin County, Minnesota, 55343, United States
NPI: 1215986757

PAUL STEPHEN NASH (D.C.)

Nutrition Chiropractor
17, 10th Avenue South, Hopkins, Hennepin County, Minnesota, 55343, United States
NPI: 1871516757
955, Game Farm Road North, Minnetrista, Hennepin County, Minnesota, 55364, United States
NPI: 1669496840
Hopkins Eisenhower Community Center, State Highway 7 Service Road, Hopkins, Hennepin County, Minnesota, 55305, United States
NPI: 1255413951