Brett Alan Marvel, M.D.
Individual provider Active NPI Emergency Medicine Physician · Lorena, TX
NPI 1811287923 · NPPES record last updated Oct 9, 2024
Key facts
- NPI
- 1811287923
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- Q5030 (TX)
- Practice address
- 1199 Old Lorena Rd
Lorena, TX 76655-3176 - Phone
- (737) 642-5062
- NPI assigned
- Apr 10, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150904001345 | TX | Practitioner - Emergency Medicine | 9234379843 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Century Integrated Partners, Inc | Emergency Medicine | Current |
Accepting new patients |
| Provider on Demand LLC | Emergency Medicine | Current |
Accepting new patients |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients | |
| Danville Family Eye Care LLC | Past | Accepting new patients |
Locations
3500 Gaston Ave
Dallas, TX 75246
1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559
1199 Old Lorena Rd
Lorena, TX 76655
Phone (254) 655-4323
4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000
2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459
1551 W Central Ave
Temple, TX 76504
Phone (254) 317-8039
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Q5030 | TX | Yes |
Addresses
Primary practice location
1199 Old Lorena Rd
Lorena, TX 76655-3176
Mailing address
1199 Old Lorena Rd
Lorena, TX 76655-3176
Phone (737) 642-5062
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201228750 | Medicaid | IN |
Other providers in Lorena, TX
- Lori Renae Laskoskie
- Vasyl Leskiv
- Morgan Lynn Long
- Antonia D Lopez
- Lorena Isd
- Nathan Andrew Matlack
- Emilie McHaney
- Zachary Mendez
- William Crit Mitchell
- Marlene Morales
All providers in Lorena, TX · Emergency Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.