BRANDON PEPPER (PT) – Physical Therapist, NPI 1053853069

BRANDON PEPPER (PT) is a healthcare provider. based in Odessa, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 1284006 (TX). The NPI Number for BRANDON PEPPER (PT) is 1053853069

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON PEPPER (PT)
NPI
1053853069
Phone
(432) 550-4700
Address
2525 N GRANDVIEW AVE
Enumeration Date
8 November 2016
Last Update Date
6 February 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4325800011
Graduation Year
2016 (10 years ago)
PAC ID
1759661614
Group Practice PAC ID
7012016959
Professional Enrollment ID
I20161212000291
Address ID
TX797647121OD1365XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

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Provider Addresses for BRANDON PEPPER (PT)

  • 2525, North Grandview Avenue, Scottsdale, Odessa, Ector County, Texas, 79761, United States

    STE 400

    ODESSA, TX 797611621

    Phone: (432) 550-4700

    Fax: (432) 550-4715

    Type: Mailing

  • 400, North Grandview Avenue, Beeson, Odessa, Ector County, Texas, 79761, United States

    ODESSA, TX 797611621

    Phone: (432) 550-4700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-12-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161212000291IPhysical Therapist In Private PracticeTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes75555$0
97530Therapy procedure using functional activities32034$0
97140Therapy procedure using manual technique, each 15 minutes12328$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes10317$0
97161Evaluation for physical therapy, typically 20 minutes4342$0
View full utilization report →

Insurance plans in this area (ZIP 79761)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012016959View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
-TX

Reviews

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Frequently asked questions

Can I cross-check BRANDON PEPPER (PT) using NPI 1053853069?
NPI 1053853069 belongs to BRANDON PEPPER (PT); compare other details if you need extra assurance.
Is BRANDON PEPPER (PT) shown as active in public data?
Registry records indicate BRANDON PEPPER (PT) maintains an active NPI.
What clinical focus is listed for BRANDON PEPPER (PT)?
At a glance, BRANDON PEPPER (PT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is BRANDON PEPPER (PT) associated with Odessa?
Public fields place BRANDON PEPPER (PT) around Odessa, Texas. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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