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

John Charles Peterson, MD

Individual provider Family Medicine Physician · NPI 1508880642

John Charles Peterson, MD is a Family Practice in Muncie, Indiana. Graduated from University of Iowa, Rj & L Carver College of Medicine in 1974, 52 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
52
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
IN
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

2423 W Jackson St
Muncie, IN 47303-4734
Phone: (765) 282-7475
Fax: (765) 282-1108
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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 10027232 (IN)

Record details

NPI number1508880642
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 26, 2006
Last updated in NPPESJuly 26, 2026
Certification dateApril 22, 2025
Mailing address2423 W Jackson St, Muncie, IN 47303-4734

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 1974 (52 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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