Individual provider Active NPI

Colby Shane Brownlee, D.O.

  • Plastic and Reconstructive Surgery Physician
  • Midland, TX
National Provider Identifier
1114289329
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
Q9302 Issued in TX
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

Updated by the provider on Aug 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160906000296 TX Practitioner - Ophthalmology 8820318959 Reassigns benefits to 1 organization

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
Ronald W. Ingram, MD PAGroup PAC ID 6800828880, 4 clinicians

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 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery833
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
Q9302TXMDPlastic and Reconstructive Surgery Physician
BP10044004TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald W. Ingram, MD PA CurrentSince Aug 8, 2016 Accepting new patients
Ingram Investments LLC PastSince Aug 8, 2016 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.

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

Verify at the official NPI Registry.