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BRILLIANT MEDICAL BOUTIQUE, LLC
NPI 1770751950
Durable Medical Equipment & Medical Supplies in Fort Worth, TX

Active since February 11, 2008
6800 HARRIS PKWY STE 300, FORT WORTH, TX 76132(682) 312-9300(682) 312-9133 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 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 1770751950) is a healthcare organization registered as a durable medical equipment & medical supplies in Fort Worth, Texas and active in the NPI registry since February 2008. The organization lists Jamie B Mittendorf, Owner, as its authorized official.

NPPES Registry Identity

NPI1770751950
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameBRILLIANT MEDICAL BOUTIQUE, LLC
Location Address6800 HARRIS PKWY STE 300Fort Worth, TX 76132-4262
Mailing Address6800 Harris Pkwy Ste 300Fort Worth, TX 76132-4262 · (682) 312-9300 · Fax (682) 312-9133
Phone(682) 312-9300
Fax(682) 312-9133
Organization SubpartNo
Authorized OfficialJamie B MittendorfOwner · (817) 594-5868
Enumeration DateFebruary 11, 2008
Last NPPES UpdateSeptember 8, 2022
NPPES CertifiedSeptember 8, 2022
✔ NPI 1770751950 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 · License CFM01117 (TN)
6800 HARRIS PKWY STE 300, Fort Worth, TX 76132
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Medical Equipment Supplier Medicare DMEPOS 21

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

Brilliant Medical Boutique

DMEPOS supplier · Fort Worth, TXOperated by Brilliant Medical Boutique LLC
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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)20574611
Medicare Participant SinceFebruary 6, 2006
Supplier Location6120 Bryant Irvin RdFort Worth, TX 76132
Phone(682) 312-9300
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.

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 1770751950. It was assigned to this organization in the NPPES registry on February 11, 2008.

Where is Brilliant Medical Boutique, LLC located?

Brilliant Medical Boutique, LLC is located at 6800 Harris Pkwy Ste 300, Fort Worth, TX 76132. The listed phone number is (682) 312-9300.

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.

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.