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

Kent John Peterson, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1669979514

Kent John Peterson, MD is a Colorectal Surgery (Proctology) in Fargo, North Dakota. Graduated from University of Minnesota Medical School in 2018, 8 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
8
Trained at
University of Minnesota Medical School
Licensed in
ND
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

801 Broadway N
Fargo, ND 58102-3641
Phone: (801) 234-2000
Show map & directions

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

Additional practice locations (1)

  • 5225 23rd Ave S, Fargo, ND 58104-7927 — (701) 417-2000

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 22778 (ND)

Record details

NPI number1669979514
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2018
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026
Mailing addressPo Box 5074, Sioux Falls, SD 57117-5074

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2018 (8 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fargo