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

Dr. Phillip Allen Peterson, MD

Individual provider Family Medicine Physician · NPI 1104882596

Dr. Phillip Allen Peterson, MD is a Family Practice in Princeton, West Virginia. Graduated from University of Iowa, Rj & L Carver College of Medicine in 1985, 41 years ago. Practices with Bluestone Health Association, Inc, a 38-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
41
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
VA
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

3997 Beckley Rd
Princeton, WV 24740-7660
Phone: (304) 431-5499
Fax: (304) 431-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0101042606 (VA)

Record details

NPI number1104882596
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 25, 2006
Last updated in NPPESJanuary 6, 2021
Certification dateJanuary 6, 2021

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesGERIATRIC MEDICINE
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 1985 (41 years in practice)
Group practice Bluestone Health Association, Inc. — 38 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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