BRAD NIEL PETERSON (D.C.) – Chiropractor, NPI 1659390417

BRAD NIEL PETERSON (D.C.) is a healthcare provider. based in South jordan, Utah. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. 176210-1202 (UT). The NPI Number for BRAD NIEL PETERSON (D.C.) is 1659390417

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
BRAD NIEL PETERSON (D.C.)
NPI
1659390417
Phone
(801) 254-9400
Address
10358 S REDWOOD RD
Enumeration Date
19 July 2006
Last Update Date
16 December 2010

Doctor Profile

Medical School Name
WESTERN STATES COLLEGE OF CHIROPRACTIC
Secondary Phone
8012549400
Graduation Year
1991 (35 years ago)
PAC ID
8426246893
Professional Enrollment ID
I20101229000666
Address ID
UT840959339SO103581700300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

319 CHIROPRACTIC in UT

Loading map...

Provider Addresses for BRAD NIEL PETERSON (D.C.)

  • 10358, Redwood Road, South Jordan Towne Center, Beckstead Park, South Jordan, Salt Lake County, Utah, 84095, United States

    SOUTH JORDAN, UT 840959339

    Phone: (801) 254-9400

    Fax: (801) 254-5739

    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: 2010-12-29

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
I20101229000666IChiropracticUTTBD

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 regions13949$0
View full utilization report →

Insurance plans in this area (ZIP 84095)

Loading plans...

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

Can I use this page to confirm BRAD NIEL PETERSON (D.C.)'s NPI?
Yes. BRAD NIEL PETERSON (D.C.) is listed with NPI 1659390417 in the public NPI dataset.
Is BRAD NIEL PETERSON (D.C.) still practicing?
BRAD NIEL PETERSON (D.C.) is currently listed as active in the public NPI registry.
What is BRAD NIEL PETERSON (D.C.)'s primary classification?
Chiropractor is the headline specialty for BRAD NIEL PETERSON (D.C.) here. Clinical services aligned with this taxonomy classification.
What address line appears for BRAD NIEL PETERSON (D.C.)?
BRAD NIEL PETERSON (D.C.)'s geographic hint is South Jordan, Utah in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

Similar Providers

South Redwood Road, West Jordan, Salt Lake County, Utah, 84088, United States
NPI: 1326011891
10358, Redwood Road, South Jordan Towne Center, Beckstead Park, South Jordan, Salt Lake County, Utah, 84095, United States
NPI: 1609839638
1684 REUNION AVE STE 250
NPI: 1750475810
1068, West South Jordan Parkway, Chattel Number 5, South Jordan, Salt Lake County, Utah, 84095, United States
NPI: 1285728899
Reunion Avenue, Maxfield, South Jordan, Salt Lake County, Utah, 84095, United States
NPI: 1255429742
11582, Country Crossing Road, Country Crossing, Daybreak, South Jordan, Salt Lake County, Utah, 84009, United States
NPI: 1871670232
South Redwood Road, West Jordan, Salt Lake County, Utah, 84088, United States
NPI: 1093888232

M. SHANE WATT (DC)

Chiropractor
S 68th St & Coachlight Dr, South 68th Street, Jordan Creek Town Center, West Des Moines, Boone Township, Dallas County, Iowa, 50266, United States
NPI: 1609935956

ERIC J BERUBE (DC)

Chiropractor
South Redwood Road, West Jordan, Salt Lake County, Utah, 84088, United States
NPI: 1194886234