DR. KEVIN BRADLEY PETERSON (AU.D) – Audiologist, NPI 1215412317

DR. KEVIN BRADLEY PETERSON (AU.D) is a healthcare provider. based in Edmonds, Washington. specializing in Audiologist. They hold the professional credentials AU.D. They hold a License No. LD60889235 (WA). The NPI Number for DR. KEVIN BRADLEY PETERSON (AU.D) is 1215412317

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN BRADLEY PETERSON (AU.D)
NPI
1215412317
Phone
(425) 775-6651
Address
21911 76TH AVE W STE 211
Enumeration Date
25 September 2018
Last Update Date
5 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4257756651
Graduation Year
2018 (8 years ago)
PAC ID
7517202823
Group Practice PAC ID
8527972900
Professional Enrollment ID
I20181214000419
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for DR. KEVIN BRADLEY PETERSON (AU.D)

  • 76th Avenue West, Edmonds, Snohomish County, Washington, 98043, United States

    EDMONDS, WA 980267918

    Phone: (425) 775-6651

    Fax: (425) 670-6718

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98026)

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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: 8527972900View full group profile
NameSpecialtyState
-WA
Orthopedic Surgery, Hand SurgeryWA
Occupational Therapist In Private PracticeWA
-WA
Orthopedic Surgery, Sports MedicineWA
-WA
-WA
Physician AssistantWA
Nurse PractitionerWA
Nurse PractitionerWA

Reviews

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Frequently asked questions

What is the standard ID for DR. KEVIN BRADLEY PETERSON (AU.D) in the U.S.?
In the U.S., DR. KEVIN BRADLEY PETERSON (AU.D) is identified by NPI 1215412317.
Is DR. KEVIN BRADLEY PETERSON (AU.D) currently accepting referrals based on NPI status?
Registry metadata lists DR. KEVIN BRADLEY PETERSON (AU.D) as active.
What does the directory say DR. KEVIN BRADLEY PETERSON (AU.D) does?
Insurance directories may phrase it differently, but here DR. KEVIN BRADLEY PETERSON (AU.D) maps to Audiologist. Clinical services aligned with this taxonomy classification.
Can patients visit DR. KEVIN BRADLEY PETERSON (AU.D) in Edmonds, Washington?
For routing, start with Edmonds, Washington for DR. KEVIN BRADLEY PETERSON (AU.D), then verify phone and hours locally.
Why is information missing for DR. KEVIN BRADLEY PETERSON (AU.D)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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