Individual provider Active NPI

Bryan T Pepper, PA

  • Physician Assistant
  • Lewes, DE
National Provider Identifier
1538680277
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
12100 Black Swan Dr Ste 201
Lewes, DE 19958-4991
Phone
(302) 644-3311
Fax
(302) 644-3300
NPI assigned
Jul 3, 2017
Last updated
Jun 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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 NU Primary

Addresses

Primary practice location

12100 Black Swan Dr Ste 201
Lewes, DE 19958-4991

Mailing address

12100 Black Swan Dr Ste 201
Lewes, DE 19958-4991
Phone (302) 644-3311

Other practice location 1

118 Atlantic Ave Ste 301
Ocean View, DE 19970-9163
Phone (302) 644-3311

Other practice location 2

26744 John J Williams Hwy Unit 4
Millsboro, DE 19966-4667
Phone (302) 231-1152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20171108003433 DE Practitioner - Physician Assistant 7315203288 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First State Orthopaedics PAGroup PAC ID 6103800057, 97 clinicians

Practice addresses (Care Compare)

4745 Ogletown Stanton Rd
Newark, DE 19713-2074
Phone (302) 731-2888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.8 of 100Reported as group
Quality
96
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
First State Orthopaedics, PA CurrentSince Jun 10, 2021 Accepting new patients
Premier Orthopaedic Bone & Joint Care CurrentSince Sep 3, 2017 Accepting new patients
First State Orthopaedics PA CurrentSince Jun 10, 2021 Accepting new patients
First State Orthopaedics PA Physician Assistant Past Accepting new patients

Locations

12100 Black Swan Dr
Ste 201
Lewes, DE 19958

1606 Savannah Rd
Ste 1
Lewes, DE 19958
Phone (302) 645-2664

329 Mullet Run
Milford, DE 19963
Phone (302) 422-5242

26744 John J Williams Hwy
Unit 4
Millsboro, DE 19966
Phone (302) 231-1152

4745 Ogletown Stanton Rd
Ste 238
Newark, DE 19713

118 Atlantic Ave
Ste 301
Ocean View, DE 19970
Phone (302) 677-1273

Interoperability endpoints

  • Direct secure messaging: bpepper22840@beebehealth.direct-ci.com
  • Direct secure messaging: bryan.pepper.p2@direct.fsoortho.nextgenshare.com

Organizations & group practices 4

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

Hospital & facility affiliations 2

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1538680277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 BLACK SWAN DR STE 201",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584991",
            "telephone_number": "302-644-3311",
            "fax_number": "302-644-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 BLACK SWAN DR STE 201",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199584991",
            "telephone_number": "302-644-3311",
            "fax_number": "302-644-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Atlantic Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Ocean View",
            "state": "DE",
            "postal_code": "199709163",
            "country_code": "US",
            "telephone_number": "302-644-3311",
            "fax_number": "302-644-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26744 John J Williams Hwy Unit 4",
            "address_purpose": "LOCATION",
            "city": "Millsboro",
            "state": "DE",
            "postal_code": "199664667",
            "country_code": "US",
            "telephone_number": "302-231-1152",
            "fax_number": "302-945-3077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEPPER",
        "first_name": "BRYAN",
        "middle_name": "T",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewes, DE

Sources for this page

Verify at the official NPI Registry.