Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Brilliant Medical Boutique LLC

Durable Medical Equipment & Medical Supplies in Weatherford, TX · enumerated 2006 · authorized official Jamie Mittendorf, Owner and Operator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497793830

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Brilliant Medical Boutique LLC

Practice address 925 Santa Fe Dr, Suite 100, Weatherford, TX, 76086

Phone (817) 594-5868

Fax (817) 594-5833

Enumeration date Jun 4, 2006

Last updated in NPPES Sep 8, 2022

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Primary

335E00000X Prosthetic/Orthotic Supplier Suppliers Secondary

Authorized official

Name Jamie Mittendorf

Title Owner and Operator

Phone (817) 594-5868

Other identifiers

Identifier	Type	State	Issuer
178601402	Medicaid	TX	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Brilliant Medical Boutique LLC located?

The practice location on file with NPPES is in Weatherford, TX.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-09-08. Verify at npiregistry.cms.hhs.gov.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-09-08.