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

Colton Brad Peterson

Individual provider Physician Assistant · NPI 1801457627

Colton Brad Peterson is a Physician Assistant in Ogden, Utah. Qualified in 2019, 7 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Licensed in
UT
In the registry since
2019
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Practice location Address checks out

4403 Harrison Blvd Ste 2400
Ogden, UT 84403-3297
Phone: (801) 387-2750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11306023-1206 (UT)

Record details

NPI number1801457627
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 24, 2019
Last updated in NPPESOctober 25, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Ogden