Active NPI
J Paul Reynolds, MD, PA
- Family Medicine Physician
- Coleman, TX
National Provider Identifier
1871740548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- H0755
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00R51U | Other | TX | BCBS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Coleman, TX
- NPI 1255335782
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
- William Clarence Earp, RPH
- Family Healthcare Clinic, PLLC
- Reagan Hadden, M.S. CCC-SLP
- Hamilton County Hospital District (Coleman Healthcare Center)
- Holiday Hill, Inc.
- Jackson Paul Reynolds MD PLLC
- Jalopy Shoppe Inc (Praxair Healthcare Services)
- James C. Stokes (Bowen Drug Store)
- Jeffrey Don Johnson, CRNA
- Yumiko Kai, O. T. R.
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.