Organization Active NPI

Comolli & Ethridge

  • Durable Medical Equipment & Medical Supplies
  • Brownwood, TX
National Provider Identifier
1386812246
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
COMOLLI & ETHRIDGE
Practice address
1200 Austin Ave
Brownwood, TX 76801-3311
Phone
(325) 643-5511
Fax
(325) 646-1496
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Dr. James Randal Ethridge, OD
Title
Partner
Phone
(325) 643-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1200 Austin Ave
Brownwood, TX 76801-3311

Mailing address

1200 Austin Ave
Brownwood, TX 76801-3311
Phone (325) 643-5511

National Provider Directory

National Provider Directory

Locations

1200 Austin Ave
Brownwood, TX 76801
Phone (325) 643-5511

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1386812246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 AUSTIN AVE",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768013311",
            "telephone_number": "325-643-5511",
            "fax_number": "325-646-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 AUSTIN AVE",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768013311",
            "telephone_number": "325-643-5511",
            "fax_number": "325-646-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMOLLI & ETHRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "ETHRIDGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RANDAL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "325-643-5511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.