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

Individual provider Surgical Oncology Physician · NPI 1750323267

Dr. Bert Petersen, MD is a General Surgery in New York, New York. Graduated from Johns Hopkins University School of Medicine in 1987, 39 years ago. Practices with Sbh Physicians PC, a 177-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
39
Trained at
Johns Hopkins University School of Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1133 Broadway
New York, NY 10010-7903
Phone: (212) 231-8104
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Oncology Physician (primary) Taxonomy 2086X0206X · Licence 195031 (NY)

Record details

NPI number1750323267
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 11, 2006
Last updated in NPPESNovember 19, 2014

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolJOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Sbh Physicians Pc — 177 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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