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

MS. Boyd M Peterson, DC

Individual provider Chiropractor · NPI 1417901422

MS. Boyd M Peterson, DC is a Chiropractic in Milwaukee, Wisconsin. Graduated from National College of Chiropractic in 1991, 35 years ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
35
Trained at
National College of Chiropractic
Licensed in
WI
In the registry since
2006
Specialties on file
3
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1155 N Mayfair Rd Spine Care Clinic At Plank Rd
Milwaukee, WI 53226-3421
Phone: (414) 955-7199
Fax: (414) 955-0110
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Chiropractor (primary) Taxonomy 111NX0800X · Licence 2800 (WI)
Chiropractor Taxonomy 111N00000X · Licence 2800 (WI)
Sports Physician Chiropractor Taxonomy 111NS0005X · Licence 2800 (WI)

Record details

NPI number1417901422
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedMay 22, 2006
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address1155 N Mayfair Rd, Spine Care Clinic At Plank Road, Milwaukee, WI 53226-3421

Medicare enrollment

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

Medicare specialtyCHIROPRACTIC
Medical schoolNATIONAL COLLEGE OF CHIROPRACTIC
Graduated 1991 (35 years in practice)
Group practice The Medical College Of Wisconsin Inc — 2093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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