Active NPI
Brice Mbameg Mahendje
- Driver
- Houston, TX
National Provider Identifier
1558736009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- Practice address
- 5258 San Pablo Gardens Dr
Houston, TX 77045-4043 - Phone
- (832) 507-8769
- NPI assigned
- Dec 9, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Primary |
Addresses
Primary practice location
5258 San Pablo Gardens Dr
Houston, TX 77045-4043
Mailing address
5258 San Pablo Gardens Dr
Houston, TX 77045-4043
Phone (832) 507-8769
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MEDICAL TRANSPORT | Medicaid | TX |
Other names 1
- Chantal Marthe Mahendje
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449619200000",
"number": "1558736009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5258 SAN PABLO GARDENS DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770454043",
"telephone_number": "832-507-8769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5258 SAN PABLO GARDENS DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770454043",
"telephone_number": "832-507-8769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBAMEG MAHENDJE",
"first_name": "BRICE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-09",
"last_updated": "2015-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MEDICAL TRANSPORT",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHANTAL",
"last_name": "MAHENDJE",
"middle_name": "MARTHE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.