Organization Active NPI

Pepper Family Medicine

Doing business as L Douglas Pepper MD

  • Family Medicine Physician
  • Belle Vernon, PA
National Provider Identifier
1831319086
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD018219E Issued in PA
Legal business name
PEPPER FAMILY MEDICINE
Doing business as
L Douglas Pepper MD
Practice address
728 Broad Ave
Belle Vernon, PA 15012-1513
Phone
(724) 929-2550
Fax
(724) 929-5676
NPI assigned
Apr 30, 2007
Last updated
Apr 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
Dr. L Douglas Pepper, MD
Title
Physician
Phone
(724) 929-2550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD018219E PA Primary

Addresses

Primary practice location

728 Broad Ave
Belle Vernon, PA 15012-1513

Mailing address

728 Broad Ave
Belle Vernon, PA 15012-1513
Phone (724) 929-2550

Other names 1

  • L DOUGLAS PEPPER MD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230428000215 PA Part B Supplier - Clinic/Group Practice 6800251703 Receives reassigned benefits from 2 practitioners
Practice locations: Belle Vernon, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0175121L Douglas Pepper MD Lab728 Broad Ave, Belle Vernon, PA 15012Certificate of waiverApr 6, 2027

National Provider Directory

National Provider Directory

Locations

728 Broad Ave
Belle Vernon, PA 15012
Phone (724) 929-2550

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1831319086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 BROAD AVE",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150121513",
            "telephone_number": "724-929-2550",
            "fax_number": "724-929-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 BROAD AVE",
            "city": "BELLE VERNON",
            "state": "PA",
            "postal_code": "150121513",
            "telephone_number": "724-929-2550",
            "fax_number": "724-929-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEPPER FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-30",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "PEPPER",
        "authorized_official_first_name": "L",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "724-929-2550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD018219E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L DOUGLAS PEPPER MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belle Vernon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.