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

Timothy Scott Peterson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1861198202

Timothy Scott Peterson is a Physician Assistant in Malabar, Florida. Qualified in 2024, 2 years ago. Practices with Urgent Care Centers of Brevard County LLC, a 25-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Malabar, FL

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 3200 S University Dr, Davie, FL 33328-2018 — (954) 262-1250

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1861198202
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 7, 2023
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Urgent Care Centers Of Brevard County Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Malabar