Individual provider Active NPI

Brian P. Peppel, PA

  • Physician Assistant
  • Marietta, OH
National Provider Identifier
1487021200
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.004418 Issued in OH
Practice address
400 Matthew St Ste 401
Marietta, OH 45750-1656
Phone
(740) 434-0565
Fax
(740) 434-0563
NPI assigned
Aug 27, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.004418 OH Primary

Addresses

Primary practice location

400 Matthew St Ste 401
Marietta, OH 45750-1656

Mailing address

PO Box 449
Marietta, OH 45750-0449
Phone (740) 374-4500

Other practice location 1

304 Main ST
Caldwell, OH 43724-1322
Phone (740) 732-2339

Other practice location 2

807 Farson St Ste 230
Belpre, OH 45714-1068
Phone (740) 423-3223

Other identifiers 2

IdentifierTypeStateIssuer
0143061MedicaidOH
P01608699OtherOHRAILROAD MEDICARE - MHCPI

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address brian.peppel@mmhs.medicity.net
Direct Messaging Address brian.peppel@mmhs.medicity.net
Direct Messaging Address brian.peppel@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150916001691 OH Practitioner - Physician Assistant 1456668979 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

304 Main St
Caldwell, OH 43724-1322
Phone (740) 732-2339

400 Matthew St
Marietta, OH 45750-1656

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.004418OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Selby General Hospital CurrentSince Nov 11, 2025 Accepting new patients
Selby General Hospital CurrentSince Nov 11, 2025 Accepting new patients
Selby General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Marietta Memorial Hospital Past Accepting new patients

Locations

304 Main St
Caldwell, OH 43724
Phone (740) 374-4273

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

1106 Colegate Dr
Marietta, OH 45750
Phone (740) 374-7700

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1487021200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457500449",
            "telephone_number": "740-374-4500",
            "fax_number": "740-374-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MATTHEW ST STE 401",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501656",
            "telephone_number": "740-434-0565",
            "fax_number": "740-434-0563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Main ST",
            "address_purpose": "LOCATION",
            "city": "Caldwell",
            "state": "OH",
            "postal_code": "437241322",
            "country_code": "US",
            "telephone_number": "740-732-2339",
            "fax_number": "740-732-2350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "807 Farson St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457141068",
            "country_code": "US",
            "telephone_number": "740-423-3223",
            "fax_number": "740-423-3645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEPPEL",
        "first_name": "BRIAN",
        "middle_name": "P.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-27",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143061",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE - MHCPI",
            "identifier": "P01608699",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian.peppel@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "304 Main ST",
            "city": "Caldwell",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437241322",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian.peppel@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "400 Matthew St Ste 401",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501656",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian.peppel@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "400 Matthew St",
            "address_2": "Suite 200",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.