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BRILLIANT MEDICAL BOUTIQUE LLC
NPI 1497793830
Durable Medical Equipment & Medical Supplies in Weatherford, TX

Active since June 04, 2006
925 SANTA FE DR, SUITE 100, WEATHERFORD, TX 76086(817) 594-5868(817) 594-5833 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brilliant Medical Boutique Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRILLIANT MEDICAL BOUTIQUE LLC (NPI 1497793830) is a healthcare organization registered as a durable medical equipment & medical supplies in Weatherford, Texas and active in the NPI registry since June 2006. The organization lists Jamie B. Mittendorf, Owner And Operator, as its authorized official.

NPPES Registry Identity

NPI1497793830
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameBRILLIANT MEDICAL BOUTIQUE LLC
Location Address925 SANTA FE DR, SUITE 100Weatherford, TX 76086-5866
Mailing Address925 Santa Fe Dr, Suite 100Weatherford, TX 76086-5866 · (817) 594-5868 · Fax (817) 594-5833
Phone(817) 594-5868
Fax(817) 594-5833
Organization SubpartNo
Authorized OfficialJamie B. MittendorfOwner And Operator · (817) 594-5868
Enumeration DateJune 4, 2006
Last NPPES UpdateSeptember 8, 2022
NPPES CertifiedSeptember 8, 2022
✔ NPI 1497793830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
925 SANTA FE DR, Weatherford, TX 76086
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Other Identifiers 1

Medicaid178601402TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 20

Medicare supplier enrollment and the product categories Brilliant Medical Boutique carries, from the Medicare DMEPOS supplier directory.

Brilliant Medical Boutique

DMEPOS supplier · Weatherford, TXOperated by Brilliant Medical Boutique LLC
⋮

Does not accept Medicare assignment

Brilliant Medical Boutique has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20574659
Medicare Participant SinceFebruary 6, 2006
Supplier Location925 Santa Fe Dr Ste 100Weatherford, TX 76086
Phone(817) 594-5868
Supplier Specialties
Medical Supply Company Other MSC With Prosthetic Personnel

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Hospital Beds (Electric)
Total electric hospital beds, Semi-electric hospital beds
Pneumatic Compression Devices and/or Supplies
Pnuematic compressor, Arm pneumatic appliance, Leg pneumatic appliance
Traction Equipment
Traction tables, Traction machines, Inversion tables
(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies
Transcutaneous Electrical Nerve Stimulation (TENS) for the relief of acute post-operative pain
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TINA DENISE WOFFORD SAC
Licensed Vocational Nurse
925 SANTA FE DR, SUITE 107
WEATHERFORD, TX 76086
Parker County (940) 328-3119
WEATHERFORD PODIATRY CLINICS, P.A.
Podiatrist (Foot & Ankle Surgery)
925 SANTA FE DR, SUITE 110
WEATHERFORD, TX 76086
Parker County (817) 341-3901
BRADEN PARTNERS LP
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
925 SANTA FE DR, SUITE 109
WEATHERFORD, TX 76086
Parker County (817) 596-7222
NANCY D. POWELL CRNA
Nurse Anesthetist, Certified Registered
925 SANTA FE DR, SUITE 111
WEATHERFORD, TX 76086
Parker County (817) 599-4901
PHYSICARE ANCILLARY SERVICE CORPORATION
Home Health
925 SANTA FE DR, SUITE 111
WEATHERFORD, TX 76086
Parker County (817) 594-9200
UROLOGY ASSOCIATES OF NORTH TEXAS LLP
Urology
925 SANTA FE DR, SUITE 114
WEATHERFORD, TX 76086
Parker County (817) 303-4521
MRS. RITA CAROL TURNS OTR
Occupational Therapist
925 SANTA FE DR, SUITE 111
WEATHERFORD, TX 76086
Parker County (817) 594-9200
DR. CALEB RANDALL SAWYER M.D.
Ophthalmology
925 SANTA FE DR, SUITE 105
WEATHERFORD, TX 76086
Parker County (682) 300-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brilliant Medical Boutique LLC's NPI number?

The NPI number for Brilliant Medical Boutique LLC is 1497793830. It was assigned to this organization in the NPPES registry on June 4, 2006.

Where is Brilliant Medical Boutique LLC located?

Brilliant Medical Boutique LLC is located at 925 Santa Fe Dr Suite 100, Weatherford, TX 76086. The listed phone number is (817) 594-5868.

What is Brilliant Medical Boutique LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Brilliant Medical Boutique LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Brilliant Medical Boutique does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Brilliant Medical Boutique LLC accept?

Health plans from UnitedHealthcare list Brilliant Medical Boutique LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brilliant Medical Boutique LLC was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.