Active NPI
Braidwood Fire Protection District
- Land Ambulance
- Braidwood, IL
National Provider Identifier
1073853347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 077151
- Legal business name
- BRAIDWOOD FIRE PROTECTION DISTRICT
- Practice address
- 275 W. Main St.
Braidwood, IL 60408 - Phone
- (815) 458-2000
- NPI assigned
- Feb 25, 2013
- Last updated
- May 27, 2026
- 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
- Christopher M Jude
- Title
- Fire Chief
- Phone
- (815) 458-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 077151 | IL | Primary |
Addresses
Primary practice location
275 W. Main St.
Braidwood, IL 60408
Mailing address
PO Box 1368
Elmhurst, IL 60126-8368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131219000102 | IL | Part B Supplier - Ambulance Service Supplier | 8325275399 | Practice locations: Braidwood, IL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779840000000",
"number": "1073853347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1368",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601268368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 W. MAIN ST.",
"city": "BRAIDWOOD",
"state": "IL",
"postal_code": "60408",
"telephone_number": "815-458-2000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAIDWOOD FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-25",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A",
"authorized_official_last_name": "JUDE",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "815-458-2000"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "IL",
"license": "077151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Braidwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.