Organization Active NPI

J Paul Reynolds, MD, PA

  • Family Medicine Physician
  • Coleman, TX
National Provider Identifier
1871740548
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H0755 Issued in TX
Legal business name
J PAUL REYNOLDS, MD, PA
Practice address
310 S Pecos St
2ND Floor
Coleman, TX 76834-4159
Phone
(325) 625-3533
NPI assigned
Aug 25, 2008
Last updated
Mar 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Dr. Jarrell Paul Reynolds, M.D.NPI 1255335782
Title
Physician
Phone
(325) 625-3533

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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H0755 TX Primary

Addresses

Primary practice location

310 S Pecos St
2ND Floor
Coleman, TX 76834-4159

Mailing address

PO Box 312
Coleman, TX 76834-0312
Phone (325) 625-3533

Other identifiers 1

IdentifierTypeStateIssuer
00R51UOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

310 S Pecos St
Fl 2
Coleman, TX 76834
Phone (325) 625-3500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1871740548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 312",
            "city": "COLEMAN",
            "state": "TX",
            "postal_code": "768340312",
            "telephone_number": "325-625-3533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S PECOS ST",
            "address_2": "2ND FLOOR",
            "city": "COLEMAN",
            "state": "TX",
            "postal_code": "768344159",
            "telephone_number": "325-625-3533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J PAUL REYNOLDS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "JARRELL",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "325-625-3533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H0755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00R51U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coleman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.