Active NPI
Brent E Patterson
- Durable Medical Equipment & Medical Supplies
- League City, TX
National Provider Identifier
1124473269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 19046
- Legal business name
- BRENT E PATTERSON
- Practice address
- 3891 E League City Pkwy
League City, TX 77573-1551 - Phone
- (281) 557-7747
- Fax
- (281) 334-3264
- NPI assigned
- Apr 26, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brent E Patterson, D.D.S.
- Title
- Owner
- Phone
- (409) 739-2242
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 19046 | TX | Primary |
Addresses
Primary practice location
3891 E League City Pkwy
League City, TX 77573-1551
Mailing address
3891 E League City Pkwy
League City, TX 77573-1551
Phone (281) 557-7747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161026001426 | TX | DME Supplier - Oral Surgery - Dentist | 3274811286 | Practice locations: League City, TX |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryLocations
3891 E League City Pkwy
League City, TX 77573
Phone (281) 557-7747
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- League City, TX
- NPI 1255063400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1475539200000",
"number": "1124473269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3891 E LEAGUE CITY PKWY",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775731551",
"telephone_number": "281-557-7747",
"fax_number": "281-334-3264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3891 E LEAGUE CITY PKWY",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775731551",
"telephone_number": "281-557-7747",
"fax_number": "281-334-3264"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRENT E PATTERSON",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-26",
"last_updated": "2016-10-04",
"status": "A",
"authorized_official_last_name": "PATTERSON",
"authorized_official_first_name": "BRENT",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "409-739-2242",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "19046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in League City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.