Active NPI
Behrens Southern Comfort Medical Supply, LLC
- Durable Medical Equipment & Medical Supplies
- League City, TX
National Provider Identifier
1043212871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0078325
- Legal business name
- BEHRENS SOUTHERN COMFORT MEDICAL SUPPLY, LLC
- Practice address
- 551 W League City Pkwy Ste B
League City, TX 77573-5463 - Phone
- (409) 621-1167
- Fax
- (409) 621-1788
- NPI assigned
- Aug 11, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katrina Guillory
- Title
- General Manager
- Phone
- (409) 621-1167
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | |||
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | 0078325 | TX | Primary |
| Customized Equipment (DME) | 332BC3200X | |||
| Hearing Aid Equipment | 332S00000X |
Addresses
Primary practice location
551 W League City Pkwy Ste B
League City, TX 77573-5463
Mailing address
551 W League City Pkwy Ste B
League City, TX 77573-5463
Phone (409) 621-1167
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170016302 | Medicaid | TX | |
| 170016301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930074347 | TX | DME Supplier - Medical Supply Company | 7315157443 | Practice locations: League City, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Coastal Medical | Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Neuromuscular Elec… | Does not accept assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Behrens Southern Comfort Medical Supply
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Galveston, TX
- NPI 1790419539
Locations
551 W League City Pkwy
Ste B
League City, TX 77573
Phone (409) 621-1167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776902400000",
"number": "1043212871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 W LEAGUE CITY PKWY STE B",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775735463",
"telephone_number": "409-621-1167",
"fax_number": "409-621-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 W LEAGUE CITY PKWY STE B",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775735463",
"telephone_number": "409-621-1167",
"fax_number": "409-621-1788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHRENS SOUTHERN COMFORT MEDICAL SUPPLY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-11",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A",
"authorized_official_last_name": "GUILLORY",
"authorized_official_first_name": "KATRINA",
"authorized_official_title_or_position": "GENERAL MANAGER",
"authorized_official_telephone_number": "409-621-1167"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": "0078325",
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332S00000X",
"taxonomy_group": "",
"desc": "Hearing Aid Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170016302",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170016301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in League City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.