Individual provider Active NPI

Brenda Mangar, FNP-C

  • Family Nurse Practitioner
  • Mont Belvieu, TX
National Provider Identifier
1780184648
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1182609 Issued in TX
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

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1182609TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adnan Afzal, MD PA Family CurrentSince Feb 24, 2025 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

Verify at the official NPI Registry.