BRANDON RAQUET DO
NPI 1629915723
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since April 29, 2026PECOS Enrolled
111 S 11TH ST STE 8290, PHILADELPHIA, PA 19107(215) 955-2370(215) 955-0677 Get Directions Write a Review

NPPES record last updated: June 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 7, 2026, Apr 29, 2026 (2 updates tracked since 2026).

About Brandon Raquet Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON RAQUET DO (NPI 1629915723) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (OT025362) and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629915723
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRANDON RAQUETCredential: DO
Location Address111 S 11TH ST STE 8290Philadelphia, PA 19107-4870
Mailing Address111 S 11th St Ste 8290Philadelphia, PA 19107-4870 · (215) 955-2370 · Fax (215) 955-0677
Fax(215) 955-0677
Sole ProprietorNo
Enumeration DateApril 29, 2026
Last NPPES UpdateJune 7, 20262 updates tracked since enumeration
NPPES CertifiedJune 7, 2026
NPI 1629915723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in PA · OT025362
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
111 S 11TH ST STE 8290, Philadelphia, PA 19107

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brandon Raquet Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Anesthesiology
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Anesthesiology
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
111 S 11TH ST STE 8290
PHILADELPHIA, PA 19107

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Raquet's NPI number?

The NPI number for Brandon Raquet is 1629915723. It was assigned to this individual provider in the NPPES registry on April 29, 2026.

Where is Brandon Raquet located?

Brandon Raquet practices at 111 S 11th St Ste 8290, Philadelphia, PA 19107. The listed phone number is (215) 955-2370.

What is Brandon Raquet's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Brandon Raquet enrolled in Medicare?

Yes. Brandon Raquet is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brandon Raquet was last updated on June 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.