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Livingston Pediatric Clinic PA

Pediatrics Physician in Livingston, TX · enumerated 2007 · authorized official Marlo Brawner, Medical Director.

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

National Provider Identifier

1891848297

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Registry record

Entity type Organization (Type 2)
Legal business name Livingston Pediatric Clinic PA
Practice address 400 Ogletree Dr, Livingston, TX, 77351
Phone (936) 328-8812
Fax (936) 328-8815
Enumeration date Jan 19, 2007
Last updated in NPPES Jun 19, 2024

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary
2080A0000X Pediatric Adolescent Medicine Physician Allopathic & Osteopathic Physicians · License J6500 (TX) Secondary

Authorized official

Name Marlo Brawner
Title Medical Director
Phone (936) 328-8812

Other identifiers

Identifier Type State Issuer
0045LZ Other TX BCBS GROUP NUMBER
169920907 Medicaid TX -
169920910 Medicaid TX -
169920906 Medicaid TX -
169920909 Medicaid TX -
169920908 Medicaid TX -
169920905 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.

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Frequently asked questions

Who is the authorized official for Livingston Pediatric Clinic PA?
NPPES lists Marlo Brawner (Medical Director) as the authorized official for this organization.
What is the NPI number for Livingston Pediatric Clinic PA?
The NPI for Livingston Pediatric Clinic PA is 1891848297, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-06-19.