College Street Medical Group, P.L.L.C.
NPI 1912233289 · Family Medicine Physician · Beaumont, TX
College Street Medical Group, P.L.L.C. is a Family Medicine Physician organization in Beaumont, TX (NPI 1912233289).
Provider details
- NPI number
- 1912233289
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bodre Rising, Provider/Owner(409) 840-9300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-10-21
- Last updated
- 2011-04-28
Frequently asked questions
- What is College Street Medical Group, P.L.L.C.'s NPI number?
- College Street Medical Group, P.L.L.C.'s National Provider Identifier (NPI) is 1912233289, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is College Street Medical Group, P.L.L.C.?
- College Street Medical Group, P.L.L.C. is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is College Street Medical Group, P.L.L.C. located?
- College Street Medical Group, P.L.L.C.'s practice location on file with NPPES is 5755 College St, Beaumont, TX 77707-3518.
- What is College Street Medical Group, P.L.L.C.'s phone number?
- The practice phone number listed in the NPPES registry for College Street Medical Group, P.L.L.C. is (409) 840-9300.
- Who is the authorized official for College Street Medical Group, P.L.L.C.?
- The authorized official listed on College Street Medical Group, P.L.L.C.'s NPPES record is Bodre Rising, Provider/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is College Street Medical Group, P.L.L.C.'s NPI active?
- Yes — College Street Medical Group, P.L.L.C.'s NPI (1912233289) is active in the NPPES registry as of the last update on 2011-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.