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

Stephen Paul Peterson, MD

Individual provider Family Medicine Physician · NPI 1629127915

Stephen Paul Peterson, MD is a Family Practice in Raleigh, North Carolina. Graduated from Medical College of Wisconsin in 1996, 30 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and Wisconsin.

Years since qualifying
30
Trained at
Medical College of Wisconsin
Licensed in
NC, WI
In the registry since
2007
Specialties on file
3
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

8300 Health Park Ste 107
Raleigh, NC 27615-4731
Phone: (919) 238-2000
Fax: (919) 238-5010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 146 E Geneva Sq, Lake Geneva, WI 53147-9694 — (262) 249-5000

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 2019-01557 (NC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 45762 (WI)
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X · Licence 2019-01557 (NC)

Record details

NPI number1629127915
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 9, 2007
Last updated in NPPESJanuary 2, 2025
Certification dateDecember 31, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 1996 (30 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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