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Brent Mainwaring MD PA

Radiology, Diagnostic Radiology in Beaumont, TX. Organization (NPI-2).

NPI number1730467366
StatusActive
Last updated in NPPESJun 13, 2018

Details

NPI
1730467366
Entity type
Organization (NPI-2)
Legal business name
Brent Mainwaring MD PA
Organization subpart
No
Enumeration date
Aug 1, 2011
Last updated
Jun 13, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic RadiologyH7781TXYes

Other names

  • The Odc (Doing Business As)

Practice location

3405 College St
Beaumont, TX 77701

Phone 409-832-2211 · Fax 409-515-1117

Mailing address

3405 College St
Beaumont, TX 77701-4613

Phone 409-832-2211 · Fax 409-515-1117

Authorized official

Brent Lee Mainwaring
M.D.
4098322211

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Diagnostic Radiology Physician providers in Beaumont, TX

All 24 Diagnostic Radiology Physician providers in Beaumont · All 3,483 providers in Beaumont

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