NPIMap

Organization Active NPI

Brent E Patterson

  • Customized Equipment (DME)
  • Texas City, TX
National Provider Identifier
1235657206
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
TSBDE19046 Issued in TX
Legal business name
BRENT E PATTERSON
Practice address
7111 Medical Center Drive
Suite 105
Texas City, TX 77591
Phone
(409) 938-1700
Fax
(409) 938-8080
NPI assigned
Aug 30, 2017
Last updated
Nov 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Authorized official

Name
Dr. Brent E Patterson, DDSNPI 1821012899
Title
Dentist/Owner
Phone
(409) 938-1700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X TSBDE19046 TX Primary

Addresses

Primary practice location

7111 Medical Center Drive
Suite 105
Texas City, TX 77591

Mailing address

3891 East League City Parkway
League City, TX 77573
Phone (281) 557-7747

Other names 1

  • Sound Asleep Solutions Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171201000721 TX DME Supplier - Oral Surgery - Dentist 3274811286 Practice locations: Texas 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 Directory

Locations

7111 Medical Center Dr
Ste 105
Texas City, TX 77591
Phone (409) 938-1700

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1235657206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3891 EAST LEAGUE CITY PARKWAY",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "77573",
            "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": "7111 MEDICAL CENTER DRIVE",
            "address_2": "SUITE 105",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "77591",
            "telephone_number": "409-938-1700",
            "fax_number": "409-938-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT E PATTERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "409-938-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "TSBDE19046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sound Asleep Solutions",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Texas City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.

Verify at the official NPI Registry.