Active NPI
Brenda Mangar, FNP-C
- Family Nurse Practitioner
- Mont Belvieu, TX
National Provider Identifier
1780184648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1182609
- Practice address
- 9825 Eagle Dr
Mont Belvieu, TX 77523-9847 - Phone
- (281) 576-0670
- NPI assigned
- Feb 17, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1182609 | TX | Primary |
Addresses
Primary practice location
9825 Eagle Dr
Mont Belvieu, TX 77523-9847
Mailing address
9825 Eagle Dr
Mont Belvieu, TX 77523-9847
Phone (281) 576-0670
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250320003484 | TX | Practitioner - Nurse Practitioner | 6709308554 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1182609 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adnan Afzal, MD PA | Family | Current | Accepting new patients |
Locations
100 Medical Center Blvd
Ste 200
Conroe, TX 77304
Phone (936) 441-9680
116 Medical Park Ln
Ste A2
Huntsville, TX 77340
Phone (936) 441-9680
129 Vision Park Blvd
Ste 306
Shenandoah, TX 77384
Phone (936) 256-3883
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1780184648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9825 EAGLE DR",
"city": "MONT BELVIEU",
"state": "TX",
"postal_code": "775239847",
"telephone_number": "281-576-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9825 EAGLE DR",
"city": "MONT BELVIEU",
"state": "TX",
"postal_code": "775239847",
"telephone_number": "281-576-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANGAR",
"first_name": "BRENDA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-17",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1182609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mont Belvieu, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.