Brent Lee Mainwaring, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

H7781 Issued in TX

Practice address

3405 College St
Beaumont, TX 77701-4613

Phone

(409) 832-2211

NPI assigned

Jun 12, 2006

Last updated

Jul 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Diagnostic Radiology

Education

Medical University of South Carolina College of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winnie Community Hospital LLCGroup PAC ID 3375440894, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Winnie Community Hospital, L.L.C.

  dba Winnie Community Clinic

  • Emergency Medicine Physician
  • Winnie, TX
  • NPI 1548395213
  Medicare reassignment Care Compare group NPD
• Brent Mainwaring MD PA

  dba The Odc

  • Diagnostic Radiology Physician
  • Beaumont, TX
  • NPI 1730467366
  Authorized official Same address or phone
• Winnie Community Hospital LLC

  dba Riceland Pain Clinic

  • Interventional Pain Medicine Physician
  • Nederland, TX
  • NPI 1316623481
  NPD
• Winnie Community Hospital, L.L.C.

  dba Riceland Clinic

  • Primary Care Nurse Practitioner
  • Vidor, TX
  • NPI 1376937003
  NPD

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1023050341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 MOORE RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777133918",
            "telephone_number": "409-656-6951",
            "fax_number": "409-753-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014613",
            "telephone_number": "409-832-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINWARING",
        "first_name": "BRENT",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H7781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Maguina, DO
• Mark J Mahaffey, DDS
• Brook Rachelle Mahan, D.D.S.
• Yugal Kishore Maheshwari, MD
• Brenda Mai, M.D.
• Rebecca Majors, SLP
• Julie Christine Makdsi, PH.D.
• John M Malain, D.P.M., PA
• Ashok K Malani, MD
• Melissa Simone Malley, RN, FNP

• Specialist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.