Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brent Lane Mazzagate

Individual provider Family Nurse Practitioner · NPI 1952904104

Brent Lane Mazzagate is a Nurse Practitioner in Nederland, Texas. Qualified in 2020, 6 years ago. Practices with Mid County Medical Group PA, a 6-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
6
Licensed in
TX
In the registry since
2020
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Practice location Address checks out

1003 Nederland Ave
Nederland, TX 77627-2832
Phone: (409) 344-4466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1008894 (TX)

Record details

NPI number1952904104
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 19, 2020
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mid County Medical Group Pa — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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