Individual provider Active NPI

Brian David Pepe, PA

  • Physician Assistant
  • Allentown, PA
National Provider Identifier
1811949126
Registry record updated May 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA003022L Issued in PA
Practice address
15 17 Pond Road
Allentown, PA 18104
Phone
(610) 395-4444
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2012

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 MA003022L PA Primary

Addresses

Primary practice location

15 17 Pond Road
Allentown, PA 18104

Mailing address

1329 Pin Oak LN
Slatington, PA 18080-1107
Phone (610) 760-2238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20140207001290 PA Practitioner - Physician Assistant 9537323274 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Luke'S HospitalGroup PAC ID 0648189688, 100 clinicians

Practice addresses (Care Compare)

1104 N St
St Luke'S Care Now
Jim Thorpe, PA 18229-1717
Phone (570) 325-2400

111 Route 715
Brodheadsville, PA 18322-7101
Phone (272) 212-0420

120 Pine St
Tamaqua, PA 18252-1409
Phone (570) 645-1500

360 W Riddle St
Coaldale, PA 18218-1027
Phone (570) 645-8127

487 E Moorestown Rd
Wind Gap, PA 18091-9662
Phone (484) 526-7850

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon - Schuylkill Community Hospital Inc CurrentSince Oct 31, 2016 Accepting new patients
St Luke'S Hospital CurrentSince Dec 16, 2013 Accepting new patients
St. Luke'S Hospital CurrentSince Dec 16, 2013 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince May 1, 2017 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Oct 31, 2016 Accepting new patients
St. Luke'S Hospital - Anderson Campus CurrentSince Oct 13, 2014 Accepting new patients
GSL Hospital CurrentSince Jul 15, 2023 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince May 1, 2017 Accepting new patients
St. Luke'S Hospital Monroe Campus CurrentSince Nov 20, 2017 Accepting new patients
St. Luke'S Hosptial CurrentSince Oct 13, 2014 Accepting new patients
Cedar Crest Pediatrics PastSince Nov 30, 2025 Accepting new patients

Locations

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

2650 Woodglen Rd
Pottsville, PA 17901
Phone (272) 639-5755

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337040000000",
    "number": "1811949126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 PIN OAK LN",
            "city": "SLATINGTON",
            "state": "PA",
            "postal_code": "180801107",
            "telephone_number": "610-760-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 17 POND ROAD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18104",
            "telephone_number": "610-395-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPE",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2012-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA003022L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.