Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Brilliant Medical Boutique, LLC

Durable Medical Equipment & Medical Supplies in Fort Worth, TX · enumerated 2008 · authorized official Jamie Mittendorf, Owner.

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

National Provider Identifier

1770751950

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Brilliant Medical Boutique, LLC

Practice address 6800 Harris Pkwy Ste 300, Fort Worth, TX, 76132

Phone (682) 312-9300

Fax (682) 312-9133

Enumeration date Feb 11, 2008

Last updated in NPPES Sep 8, 2022

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Primary

335E00000X Prosthetic/Orthotic Supplier Suppliers · License CFM01117 (TN) Secondary

Authorized official

Name Jamie Mittendorf

Title Owner

Phone (817) 594-5868

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 Fort Worth, 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.

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