Active NPI
Darryl Dewitt Collins, M.D.,P.a.
- Family Medicine Physician
- Portland, TX
National Provider Identifier
1104074137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DARRYL DEWITT COLLINS, M.D.,P.A.
- Practice address
- 213 Cedar Dr
Suite a
Portland, TX 78374-2921 - Phone
- (361) 777-2886
- Fax
- (361) 777-3667
- NPI assigned
- Sep 3, 2008
- 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
- Dr. Darryl Dewitt Collins, M.D.
- Title
- Owner/Physician
- Phone
- (361) 777-2886
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
213 Cedar Dr
Suite a
Portland, TX 78374-2921
Mailing address
213 Cedar Dr
Suite a
Portland, TX 78374-2921
Phone (361) 777-2886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
213 Cedar Dr
Ste A
Portland, TX 78374
Phone (361) 777-2886
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Portland, TX
- NPI 1720107493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220400000000",
"number": "1104074137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 CEDAR DR",
"address_2": "SUITE A",
"city": "PORTLAND",
"state": "TX",
"postal_code": "783742921",
"telephone_number": "361-777-2886",
"fax_number": "361-777-3667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "213 CEDAR DR",
"address_2": "SUITE A",
"city": "PORTLAND",
"state": "TX",
"postal_code": "783742921",
"telephone_number": "361-777-2886",
"fax_number": "361-777-3667"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DARRYL DEWITT COLLINS, M.D.,P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-03",
"last_updated": "2008-09-03",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "DARRYL",
"authorized_official_middle_name": "DEWITT",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "361-777-2886",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.