Bradley Prosperity Volunteer Fire Department Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BRADLEY PROSPERITY VOLUNTEER FIRE DEPARTMENT INC

Practice address

5950 Robert C Byrd Dr
Bradley, WV 25818

Phone

(304) 877-2340

Fax

(681) 495-1513

NPI assigned

Mar 23, 2020

Last updated

Oct 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David A Wriston II

Title

Chief

Phone

(304) 473-8988

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1093342982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262010129",
            "telephone_number": "304-473-8988",
            "fax_number": "304-473-8996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 ROBERT C BYRD DR",
            "city": "BRADLEY",
            "state": "WV",
            "postal_code": "25818",
            "telephone_number": "304-877-2340",
            "fax_number": "681-495-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY PROSPERITY VOLUNTEER FIRE DEPARTMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-23",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "WRISTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "304-473-8988",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Price Adkins
• Patricia Evans
• Manuel B. Villanueva M.D., P.C.
• Suzanne Marie Parkulo
• Manuel Bunoan Villanueva, MD
• Tori Robin Walker

• Land Ambulance in Bradley, WV
• Providers in Bradley, WV by specialty
• Land Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.

Verify at the official NPI Registry.