Brent Mainwaring MD PA

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

H7781 Issued in TX

Legal business name

BRENT MAINWARING MD PA

Doing business as

The Odc

Practice address

3405 College St
Beaumont, TX 77701

Phone

(409) 832-2211

Fax

(409) 515-1117

NPI assigned

Aug 1, 2011

Last updated

Jun 13, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brent Lee Mainwaring, M.D.NPI 1023050341

Title

M.D.

Phone

(409) 832-2211

Specialties & licenses 1

Addresses

Other names 1

• THE ODC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Brent Lee Mainwaring, M.D.

  • Specialist
  • Beaumont, TX
  • NPI 1023050341
  Authorized official Same address or phone

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

{
    "created_epoch": "1312156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1730467366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014613",
            "telephone_number": "409-832-2211",
            "fax_number": "409-515-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 COLLEGE ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "77701",
            "telephone_number": "409-832-2211",
            "fax_number": "409-515-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT MAINWARING MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-01",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "MAINWARING",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "409-832-2211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "H7781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE ODC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "THE ODC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martha Ortega Brands, O.D.
• Paris Patrick Bransford, MD
• Roxanne Elizabeth Braswell, R.PH.
• Amy Breaux
• Brittany Nicole Breaux, LVN
• Collin Brice, MS SLP
• Brident Dental Associates PC
• Kierra Bridgewater, M.ED., LPC
• Brittany Michelle Briggs
• Brooke Brist

• Diagnostic Radiology Physician in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.