NPIMap

Organization Active NPI

Collins Bros., Inc.

  • Orthotic Fitter
  • Tyler, TX
National Provider Identifier
1063418671
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
License
9676 Issued in WA
Legal business name
COLLINS BROS., INC.
Practice address
1318 S Beckham Ave
Tyler, TX 75701-3322
Phone
(903) 597-6566
Fax
(903) 597-6582
NPI assigned
Jun 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Chet Alan Collins, CERTIFIED PEDORTHIST
Title
Co-Owner
Phone
(903) 597-6566

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OrthotistGroup: 193200000X MULTI-SPECIALTY GROUP 222Z00000X 335 WA
Orthotic FitterGroup: 193200000X MULTI-SPECIALTY GROUP 225000000X 1130 WA
Orthotic FitterGroup: 193200000X MULTI-SPECIALTY GROUP 225000000X 9676 WA Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

1318 S Beckham Ave
Tyler, TX 75701-3322

Mailing address

1318 S Beckham Ave
Tyler, TX 75701-3322
Phone (903) 597-6566

Other identifiers 2

IdentifierTypeStateIssuer
C08454607OtherTXCAROLE DAVENPORT EDI SUB.
530909OtherTXBCBS OF TX

Other names 1

  • Collin Orthopedic Other name

National Provider Directory

National Provider Directory

Locations

1318 S Beckham Ave
Tyler, TX 75701
Phone (903) 597-6566

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1063418671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 S BECKHAM AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013322",
            "telephone_number": "903-597-6566",
            "fax_number": "903-597-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 S BECKHAM AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013322",
            "telephone_number": "903-597-6566",
            "fax_number": "903-597-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS BROS., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "CHET",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "903-597-6566",
        "authorized_official_credential": "CERTIFIED PEDORTHIST"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotist",
            "state": "WA",
            "license": "335",
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotic Fitter",
            "state": "WA",
            "license": "1130",
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthotic Fitter",
            "state": "WA",
            "license": "9676",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAROLE DAVENPORT EDI SUB.",
            "identifier": "C08454607",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "530909",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Collin Orthopedic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.