Active NPI
Patrick K Brandon, PT DPT, CERT. MDT
- Physical Therapist
- El Paso, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1054278
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1054278 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Border Therapy Services LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- El Paso, TX
- NPI 1871650598
-
- General Acute Care Hospital
- El Paso, TX
- NPI 1669655601
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.