College Street Medical Group, P.L.L.C.
NPI 1912233289ActiveOrganization· Family Medicine· Beaumont, TX
Family Medicine in Beaumont, Texas, registered in NPPES in October 2009. The authorized official on file is Bodre Rising, Provider/Owner.
Overview
| NPI | 1912233289 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 21, 2009 |
| Last updated in NPPES | Apr 28, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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