DR. BRADLEY A PETERSON (MD) – Emergency Medicine Physician, NPI 1730145269

DR. BRADLEY A PETERSON (MD) is a healthcare provider. based in Urbana, Illinois. specializing in Emergency Medicine Physician. They hold the professional credentials MD. They hold a License No. 036109503 (IL). The NPI Number for DR. BRADLEY A PETERSON (MD) is 1730145269

Main info

Male
Name
DR. BRADLEY A PETERSON (MD)
NPI
1730145269
Phone
(217) 383-6792
Address
611 W PARK ST
Enumeration Date
24 April 2006
Last Update Date
8 May 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. BRADLEY A PETERSON (MD)

  • Carle Foundation Hospital, 611, West Park Street, Urbana, Champaign County, Illinois, 61801, United States

    BWPC

    URBANA, IL 618012529

    Phone: (217) 383-6792

    Fax: (217) 383-4752

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-01-24

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
I20040124000129IEmergency MedicineILTBD

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
99285Emergency department visit with high level of medical decision making6059$0
99284Emergency department visit with moderate level of medical decision making3030$0
99283Emergency department visit with low level of medical decision making1616$0
View full utilization report →

Insurance plans in this area (ZIP 61801)

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Reviews

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Frequently asked questions

What number should I use to identify DR. BRADLEY A PETERSON (MD) for billing?
Administrative and clinical systems typically use NPI 1730145269 for DR. BRADLEY A PETERSON (MD).
Does the public listing show DR. BRADLEY A PETERSON (MD) as active?
DR. BRADLEY A PETERSON (MD)'s NPI record reflects an active status in NPPES.
What does the directory say DR. BRADLEY A PETERSON (MD) does?
Insurance directories may phrase it differently, but here DR. BRADLEY A PETERSON (MD) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to DR. BRADLEY A PETERSON (MD)?
The directory associates DR. BRADLEY A PETERSON (MD) with Urbana, Illinois. Check all listed addresses for suites or satellite offices.
Can I export DR. BRADLEY A PETERSON (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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