NPI age
19 years
Enumerated 2007-01-19
● Active Type 2 · Organization
Livingston Pediatric Clinic PA
Livingston Pediatric Clinic PA is 1 of 7055 pediatrics organizations in Texas.
Primary specialty
Pediatrics
Plus 1 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Brawner
Medical Director
Last NPPES update
2024-06-19
Source: monthly bulk 2026-05
How this organization compares
Across 7055 active pediatrics providers in Texas.
NPI age
19 years
≈ at median (18 yr)
Practice locations
2
1 secondary on file
Subspecialties
1
In the 23% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-01Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
400 Ogletree Dr
Livingston, TX 773516783
Mailing address
400 Ogletree Dr
Livingston, TX 773516783
Additional practice locations
1 secondary location on file with NPPES.
Location 2
203 N College Ave Ste 1001
Cleveland, TX 773272500
Authorized official
Marlo Brawner, MD
Medical Director
📞 9363288812
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Renella Boullion, APRN, FNP-BC Nurse Practitioner NPI 1003442906
- Marlo Brawner, MD Pediatrics NPI 1033218730
- Mikayla Fielding, FNP-C Nurse Practitioner NPI 1396530580
- Lora Holt, FNP Nurse Practitioner NPI 1972060390
- Carol Jacobs, MD Pediatrics NPI 1548369309
- Deneesha Jones Nurse Practitioner NPI 1023862141
- Karl Schneider, APRN, FNP-C Nurse Practitioner NPI 1376145029
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
-
PediatricsA pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0045LZ | BCBS GROUP NUMBER |
| 05 (TX) | 169920907 | |
| 05 (TX) | 169920910 | |
| 05 (TX) | 169920906 | |
| 05 (TX) | 169920909 | |
| 05 (TX) | 169920908 | |
| 05 (TX) | 169920905 |
Practice context
Multi-provider organization. 7 individual providers on file at this primary address. Plus 1 secondary practice location.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.