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

Dr. Brian R Peterson, MD

Individual provider Otolaryngology Physician · NPI 1316978687

Dr. Brian R Peterson, MD is an Otolaryngology in West Jordan, Utah. Graduated from University of Utah School of Medicine in 1990, 36 years ago. Practices with Southern Illinois Medical Services Nfp, a 332-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Utah.

Years since qualifying
36
Trained at
University of Utah School of Medicine
Licensed in
IL, UT
In the registry since
2006
Specialties on file
2
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

3584 W 9000 S Ste 311
West Jordan, UT 84088-5710
Phone: (801) 566-8304
Fax: (801) 566-8304
Show map & directions

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

Additional practice locations (2)

  • 2601 W Main St, Carbondale, IL 62901-1031 — (618) 549-5361
  • 2601 W Main St, Carbondale, IL 62901-1031 — (618) 351-7300

Specialties & licences

Otology & Neurotology Physician (primary) Taxonomy 207YX0901X · Licence 313974-1205 (UT)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 036142390 (IL)

Record details

NPI number1316978687
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 5, 2006
Last updated in NPPESNovember 2, 2020
Certification dateNovember 2, 2020

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 1990 (36 years in practice)
Group practice Southern Illinois Medical Services Nfp — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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