Active NPI
Colby Shane Brownlee, D.O.
- Plastic and Reconstructive Surgery Physician
- Midland, TX
National Provider Identifier
1114289329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- Q9302
- Practice address
- 2706 W Cuthbert Ave BLDG a
Midland, TX 79701-3885 - Phone
- (432) 694-0999
- Fax
- (432) 694-7414
- NPI assigned
- Jun 13, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10044004 | TX | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | Q9302 | TX | Primary |
Addresses
Primary practice location
2706 W Cuthbert Ave BLDG a
Midland, TX 79701-3885
Mailing address
5404 Grayson Ridge Dr
Fort Worth, TX 76179-7111
Phone (254) 733-8500
Other practice location 1
1500 S Main St
Academic Affairs
Fort Worth, TX 76104-4917
Phone (817) 927-1661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- University of North Texas HSC, College of Osteopathic Med, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2706 W Cuthbert Ave
BLDG a
Midland, TX 79701-3885
Phone (432) 694-0999
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 833 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Q9302 | TX | MD | Plastic and Reconstructive Surgery Physician |
| BP10044004 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ronald W. Ingram, MD PA | Current | Accepting new patients | |
| Ingram Investments LLC | Past | Accepting new patients |
Locations
2706 W Cuthbert Ave
Bldg A
Midland, TX 79701
Phone (432) 694-0999
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Midland, TX
- NPI 1043341811
-
- Ophthalmology Physician
- Midland, TX
- NPI 1265511463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1114289329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5404 GRAYSON RIDGE DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761797111",
"telephone_number": "254-733-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2706 W CUTHBERT AVE BLDG A",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797013885",
"telephone_number": "432-694-0999",
"fax_number": "432-694-7414"
}
],
"practiceLocations": [
{
"address_1": "1500 S Main St",
"address_2": "Academic Affairs",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761044917",
"country_code": "US",
"telephone_number": "817-927-1661",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROWNLEE",
"first_name": "COLBY",
"middle_name": "SHANE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-13",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "BP10044004",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "TX",
"license": "Q9302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.