Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Frederick Peterson, MD

Family Medicine Physician in Palm Bay, FL · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1215913165

Verified

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Registry record

Entity type Individual (Type 1)

Name Frederick Peterson

Credential MD

Sex Male

Practice address 6100 Minton Rd Nw, Ste104, Palm Bay, FL, 32907

Phone (321) 724-1172

Fax (321) 724-9024

Enumeration date Dec 21, 2005

Last updated in NPPES Mar 30, 2021

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License ME32196 (FL) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
080185086	Other	FL	RAILROAD MEDICARE
038494100	Medicaid	FL	-
5840654	Other	FL	AETNA
2830929	Other	FL	AETNA
200859	Other	FL	WELLCARE
62193	Other	FL	BLUE CROSS BLUE SHIELD
2049145010	Other	FL	CIGNA

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Frederick Peterson practice?

The practice location on file with NPPES is in Palm Bay, FL. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Frederick Peterson?

The National Provider Identifier (NPI) for Frederick Peterson is 1215913165, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Muhammad Aslam Cardiovascular Disease Physician · Palm Bay, FL NPI 1720087711 Fredy Delacruz Urology Physician · Palm Bay, FL NPI 1316928781 Peter Taraschi Family Medicine Physician · Palm Bay, FL NPI 1780660852 Jodi Larsen Family Nurse Practitioner · Palm Bay, FL NPI 1861931032

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-30.