Pepper Family Medicine
Organization Active NPI Family Medicine Physician · Belle Vernon, PA
NPI 1831319086 · NPPES record last updated Apr 4, 2023
Key facts
- NPI
- 1831319086
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD018219E (PA)
- Legal business name
- PEPPER FAMILY MEDICINE
- Practice address
- 728 Broad Ave
Belle Vernon, PA 15012-1513 - Phone
- (724) 929-2550
- Fax
- (724) 929-5676
- NPI assigned
- Apr 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. L Douglas Pepper, MD
- Title
- Physician
- Phone
- (724) 929-2550
Practitioners 3
-
M. Elizabeth Miller, M.D.
-
L. Douglas Pepper, M.D.
-
Jack Dewayne Cecil Jr., CRNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0175121 | L Douglas Pepper MD Lab | Certificate of waiver | Apr 6, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230428000215 | PA | Part B Supplier - Clinic/Group Practice | 6800251703 |
Receives reassigned benefits from 2 practitioners Practice locations: Belle Vernon, PA |
National Provider Directory
Locations
728 Broad Ave
Belle Vernon, PA 15012
Phone (724) 929-2550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | MD018219E | PA | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32857 | Other | PA | HIGHMARK |
Other names
- L DOUGLAS PEPPER MD
Other providers in Belle Vernon, PA
- Optima Home Health Care LLC
- Orthodontique
- Orthopedic Group PC
- Lori Ann Pazzabon
- Pennsylvania CVS Pharmacy LLC
- L. Douglas Pepper
- Pittsburgh Healthworx, P.C.
- Pittsburgh Healthworx, P.C.
- Erin Podroskey
- Porreca Chiropractic Center, Inc.
All providers in Belle Vernon, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.