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

Individual provider Vascular Surgery Physician · NPI 1356359376

Dr. Brian G Peterson, MD is a Vascular Surgery in Saint Louis, Missouri. Graduated from Saint Louis University School of Medicine in 2000, 26 years ago. Practices with Cardiothoracic Surgery, LLC, a 14-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
26
Trained at
Saint Louis University School of Medicine
Licensed in
MO
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

10012 Kennerly Rd Ste 305
Saint Louis, MO 63128-2197
Phone: (314) 525-4325
Fax: (314) 525-4365
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 2006019887 (MO)

Record details

NPI number1356359376
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 4, 2006
Last updated in NPPESMay 24, 2016

Medicare enrollment

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

Medicare specialtyVASCULAR SURGERY
Also practisesGENERAL SURGERY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Cardiothoracic Surgery, Llc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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