Individual provider Active NPI

Patrick K Brandon, PT DPT, CERT. MDT

  • Physical Therapist
  • El Paso, TX
National Provider Identifier
1720148901
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1054278 Issued in TX
Practice address
1400 George Dieter Dr Ste 180
El Paso, TX 79936-7656
Phone
(915) 234-2991
Fax
(844) 270-2164
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1054278 TX Primary

Addresses

Primary practice location

1400 George Dieter Dr Ste 180
El Paso, TX 79936-7656

Mailing address

9706 Darway Dr
El Paso, TX 79925-6810
Phone (915) 256-3587

Other practice location 1

1300 Murchison Dr Ste 314
El Paso, TX 79902-4852
Phone (915) 234-2991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190604000259 TX Practitioner - Physical Therapist in Private Practice 8527391762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Border Therapy Services LLCGroup PAC ID 1355421181, 36 clinicians

Practice addresses (Care Compare)

3215 Gateway Blvd W
Suite 201
El Paso, TX 79903-4225
Phone (915) 493-6799

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1054278TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Border Therapy Services LLC Physical Therapist CurrentSince Dec 11, 2019 Accepting new patients
East El Paso Physicians' Medical Center, LLC Past Accepting new patients

Locations

2280 Trawood Dr
El Paso, TX 79935
Phone (915) 493-6794

12311 Montana Ave
Ste A101
El Paso, TX 79938
Phone (315) 317-1300

3215 Gateway Blvd W
#201
El Paso, TX 79903
Phone (915) 493-6799

1300 Murchison Dr
Ste 314
El Paso, TX 79902
Phone (915) 234-2991

Organizations & group practices 2

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1720148901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9706 DARWAY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799256810",
            "telephone_number": "915-256-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 GEORGE DIETER DR STE 180",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367656",
            "telephone_number": "915-234-2991",
            "fax_number": "844-270-2164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Murchison Dr Ste 314",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799024852",
            "country_code": "US",
            "telephone_number": "915-234-2991",
            "fax_number": "844-270-2164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "PATRICK",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "PT DPT, CERT. MDT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1054278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.