Boli and Son Express LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

BOLI AND SON EXPRESS LLC

Practice address

908 Monticello Dr
Burleson, TX 76028-8208

Phone

(972) 880-7542

NPI assigned

Jun 19, 2023

Last updated

Jun 19, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

VERIDIAN MMA COMMUTE SERVICES LLCAs reported in NPPES

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

Authorized official

Name

Mr. Michael E EbongNPI 1275218299

Title

Ceo/Manager

Phone

(972) 880-7542

Specialties & licenses 1

Addresses

Part of

Veridian Mma Commute Services LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Veridian Mma Commute Services LLC

  • Non-emergency Medical Transport (VAN)
  • Arlington, TX
  • NPI 1063131670
  NPPES parent name

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.

• Michael E Ebong

  • Driver
  • Burleson, TX
  • NPI 1275218299
  NPD Authorized official

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1114602141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 MONTICELLO DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760288208",
            "telephone_number": "972-880-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 MONTICELLO DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760288208",
            "telephone_number": "972-880-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLI AND SON EXPRESS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VERIDIAN MMA COMMUTE SERVICES LLC",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-17",
        "status": "A",
        "authorized_official_last_name": "EBONG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/MANAGER",
        "authorized_official_telephone_number": "972-880-7542",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Haven Transport
• Stelian Paul Bodea-Barothi, MD
• Body Harmony Corrective Massage and Spa
• Stephen Bojan
• Ashley Bolden
• Katelin Victoria Bolivar Vukovics, MA, LPC
• Vincent Boom, RN, PHD
• Eric Ardeen Bortnem, DMD, MS
• Benjamin Bowles, ATC, LAT
• Darrell Lynn Bowyer, M.D.,P.A.

• Non-emergency Medical Transport (VAN) in Burleson, TX
• Providers in Burleson, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.