Mack Peterson, D.O.
NPI 1396159521 · Family Medicine Physician · Jbsa Lackland, TX
Mack Peterson, D.O. is a Family Medicine Physician provider in Jbsa Lackland, TX (NPI 1396159521).
Provider details
- NPI number
- 1396159521
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 1535 (NE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-06-16
- Last updated
- 2024-07-08
- Certified
- 2024-07-08
Frequently asked questions
- What is Mack Peterson's NPI number?
- Mack Peterson's National Provider Identifier (NPI) is 1396159521, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mack Peterson's specialty?
- Mack Peterson is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mack Peterson located?
- Mack Peterson's practice location on file with NPPES is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638.
- What is Mack Peterson's phone number?
- The practice phone number listed in the NPPES registry for Mack Peterson is (315) 630-4060.
- Is Mack Peterson's NPI active?
- Yes — Mack Peterson's NPI (1396159521) is active in the NPPES registry as of the last update on 2024-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.