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

Dr. Barry John Peterson, DO

Individual provider Otolaryngology/Facial Plastic Surgery Physician · NPI 1447456272

Dr. Barry John Peterson, DO is an Otolaryngology in Rexburg, Idaho. Qualified in 2007, 19 years ago. Practices with Upper Valley ENT and Allergy PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
19
Licensed in
ID
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

256 N 2nd E
Rexburg, ID 83440-1638
Phone: (208) 656-9646
Fax: (208) 656-9645
Show map & directions

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

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X · Licence O-0522 (ID)
Allergy Physician Taxonomy 207KA0200X · Licence O-0522 (ID)

Record details

NPI number1447456272
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 27, 2007
Last updated in NPPESJune 11, 2014

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Also practisesALLERGY/IMMUNOLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Upper Valley Ent And Allergy Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare