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

Dr. Barry John Peterson, DO

Individual provider Otolaryngology/Facial Plastic Surgery Physician · NPI 1447456272

Dr. Barry John Peterson, DO is an Otolaryngology in Rexburg, Idaho. Qualified in 2007, 19 years ago. Practices with Upper Valley ENT and Allergy PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
19
Licensed in
ID
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

256 N 2nd E
Rexburg, ID 83440-1638
Phone: (208) 656-9646
Fax: (208) 656-9645
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence O-0522 (ID)
Allergy Physician Taxonomy 207KA0200X · Licence O-0522 (ID)

Record details

NPI number1447456272
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 27, 2007
Last updated in NPPESJune 11, 2014
Mailing address256 N 2nd E, Rexburg, ID 83440-1638

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Also practisesALLERGY/IMMUNOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Upper Valley Ent And Allergy Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare