Individual provider Active NPI

Brandon Scott Lowis, PA-C

  • Physician Assistant
  • Tempe, AZ
National Provider Identifier
1679235683
Registry record updated Mar 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9790 Issued in AZ
Practice address
2133 E Warner Rd Ste 2133
Tempe, AZ 85284-3492
Phone
(480) 636-1417
NPI assigned
Oct 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-2771 ID
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X 9790 AZ Primary

Addresses

Primary practice location

2133 E Warner Rd Ste 2133
Tempe, AZ 85284-3492

Mailing address

2133 E Warner Rd Ste 103
Tempe, AZ 85284-3492
Phone (480) 636-1417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230802001755 AZ Practitioner - Physician Assistant 1557722881 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9790AZMDPhysician Assistant
PA-2771IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total Orthopedics, LLC PastSince Apr 6, 2025 Accepting new patients
Total Orthopedics,LLC PastSince Apr 6, 2025 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743292800000",
    "number": "1679235683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2133 E WARNER RD STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843492",
            "telephone_number": "480-636-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2133 E WARNER RD STE 2133",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852843492",
            "telephone_number": "480-636-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOWIS",
        "first_name": "BRANDON",
        "middle_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-07",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-2771",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.