Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Bruce P. Peterson, MD

Pediatrics Physician in Roscoe, IL · enumerated 2006.

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

National Provider Identifier

1821108010

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Registry record

Entity type Individual (Type 1)

Name Bruce P. Peterson

Credential MD

Sex Male

Practice address 5000 Prairie Rose Dr, Roscoe, IL, 61073

Phone (815) 971-2000

Enumeration date Aug 30, 2006

Last updated in NPPES Jan 29, 2010

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 036-053478 (IL) 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
036053478	Medicaid	IL	-

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

How do I verify Bruce Peterson's NPI record?

Cross-check NPI 1821108010 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1821108010 active?

Yes, as of the latest NPPES snapshot, NPI 1821108010 is active (record last updated 2010-01-29).

Other providers at this practice address

Browse all →

Gregory Granzeier Obstetrics & Gynecology Physician · Roscoe, IL NPI 1134239320 David Hansen Internal Medicine Physician · Roscoe, IL NPI 1689784878 Dusica Sekulic Internal Medicine Physician · Roscoe, IL NPI 1801906094 Karen Radtke Adult Health Nurse Practitioner · Roscoe, IL NPI 1811199045 Jane Taylor Pediatrics Physician · Roscoe, IL NPI 1588827588 Rana Abdul-Khalek Obstetrics & Gynecology Physician · Roscoe, IL NPI 1275768087 Marlena Dagostin Family Nurse Practitioner · Roscoe, IL NPI 1720578180 Melissa Normoyle Family Nurse Practitioner · Roscoe, IL NPI 1710535950

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-01-29.