Doctor Name: | DR. BRADLEY A PETERSON |
NPI Number: | 1730145269 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 036109503 |
Business Practice Address: | 611 W. Park Street Emergency Medicine Urbana, IL - 61801 |
Business Phone Number: | 2173833313 |
Business Fax Number: | 2173834014 |
Mailing Address: | 611 W Park St, Bwpc URBANA |
State: | IL |
Postal Code: | 618012529 |
Phone Number: | 2173836792 |
Fax Number: | 2173834752 |
NPI Enumeration Date: | 04/24/2006 |
NPI Last Update Date: | 05/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207P00000X |
License Number: | 036109503 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Emergency Medicine |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |