Melvin Byron Pepper, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1909-023 Issued in WI

Practice address

10400 W. North Ave.
Wauwatosa, WI 53226

Phone

(414) 479-2513

Fax

(414) 479-2515

NPI assigned

Oct 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639267255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S75W33050 ROLLING FIELDS DR",
            "city": "MUKWONAGO",
            "state": "WI",
            "postal_code": "531499311",
            "telephone_number": "262-392-4002",
            "fax_number": "414-479-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 W. NORTH AVE.",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "53226",
            "telephone_number": "414-479-2513",
            "fax_number": "414-479-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPER",
        "first_name": "MELVIN",
        "middle_name": "BYRON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "1909-023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Paige Pendleton
• Regina Penn, MS, LPC
• Joahne C Penney, LPN
• Jolanta Pentala, MD
• Amy Lynn Pepe
• Andres Peralta-Werns, DC
• Matthew Perchuk, P.T.
• Jennifer Mary Perez, RN
• Performance Chiropractic Center, S.C.
• Performance Chiropractic Clinic, LLC

• Medical Physician Assistant in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Medical Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.