Colby P Brotherton, LCO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

181 Issued in TX

Practice address

19221 Interstate 45 S
Suite 110
Shenandoah, TX 77385-8756

Phone

(281) 419-6638

Fax

(281) 419-3757

NPI assigned

Apr 27, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335484800000",
    "number": "1740548643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19221 INTERSTATE 45 S",
            "address_2": "SUITE 110",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858756",
            "telephone_number": "281-419-6638",
            "fax_number": "281-419-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19221 INTERSTATE 45 S",
            "address_2": "SUITE 110",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773858756",
            "telephone_number": "281-419-6638",
            "fax_number": "281-419-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTHERTON",
        "first_name": "COLBY",
        "middle_name": "P",
        "credential": "LCO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-27",
        "last_updated": "2012-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "TX",
            "license": "181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vishnu S. Brahmandam, M.D.
• Tershundrea Branch
• Kristina Brazee
• Breathing Centers of Texas, PLLC
• Madeline Hope Hope Brittain, PA
• Riley Leighton Browder, MSOT, OTR
• Christopher Brown, PT, DPT
• Jason Brown, MD
• Sharon Annette Brown, PH.D.
• Susan S Brown, MD

• Orthotist in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Orthotist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; 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.