Brilliant Medical Boutique Llc
Prosthetic & Orthotic Supplier
925 Santa Fe Dr, Suite 100, Weatherford
Texas, 76086-5866
817-594-5868 817-594-5833
Maps & DirectionsBrilliant Medical Boutique Llc is a Prosthetic & Orthotic Supplier in Weatherford, Texas. It is situated at 925 Santa Fe Dr, Suite 100, Weatherford and its contact number is 817-594-5868. The authorized person of Brilliant Medical Boutique Llc is Jamie B. Mittendorf
who is Owner And Operator of the store and his/her contact number is 817-594-5868.
Brilliant Medical Boutique Llc is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Complete Profile:
Brilliant Medical Boutique Llc Center speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the Prosthetic/Orthotic center or can call on the below given phone number for appointment.
| Specialization: | Prosthetic & Orthotic Supplier |
| Address: | 925 Santa Fe Dr, Suite 100, Weatherford,
Texas, 76086-5866 |
| Phone: | 817-594-5868 |
| Fax: | 817-594-5833 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this store are as below. Person's position and contact details are also mentioned below.
| Name: | Jamie B. Mittendorf |
| Position: | Owner And Operator |
| Contact Number: | 817-594-5868 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Brilliant Medical Boutique Llc center are as mentioned below.
| NPI Number: | 1497793830 |
| NPI Enumeration Date: | 04 Jun, 2006 |
| NPI Last Update On: | 08 Sep, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Brilliant Medical Boutique Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Durable Medical Equipment & Medical Supplies | | | Primary | |
| Prosthetic/orthotic Supplier | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 178601402 | Medicaid | Texas | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Brilliant Medical Boutique Llc
925 Santa Fe Dr, Suite 100
Weatherford, Texas |
| Zip: | 76086-5866 |
| Phone Number: | 817-594-5868 |
| Fax Number: | 817-594-5833 |
Patients can reach Brilliant Medical Boutique Llc at
925 Santa Fe Dr, Suite 100, Weatherford, Texas or can
call to book an appointment on 817-594-5868.
Comments/ Reviews:
Patients can read all the reviews posted for Brilliant Medical Boutique Llc below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Brilliant Medical Boutique Llc. It will help others make informed decisions.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.