Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brad Niel Peterson, DC

Individual provider Chiropractor · NPI 1659390417

Brad Niel Peterson, DC is a Chiropractic in South Jordan, Utah. Graduated from Western States College of Chiropractic in 1991, 35 years ago. Accepts Medicare assignment. Licensed in Utah.

Years since qualifying
35
Trained at
Western States College of Chiropractic
Licensed in
UT
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

10358 S Redwood Rd
South Jordan, UT 84095-9339
Phone: (801) 254-9400
Fax: (801) 254-5739
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 176210-1202 (UT)

Record details

NPI number1659390417
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJuly 19, 2006
Last updated in NPPESDecember 16, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolWESTERN STATES COLLEGE OF CHIROPRACTIC
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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