Bruce'S Body Shop Inc.

Primary specialty

ParamedicTaxonomy code 146L00000X

License

1180 Issued in KS

Legal business name

BRUCE'S BODY SHOP INC.

Practice address

1204 Center St
Marysville, KS 66508-1727

Phone

(785) 562-2359

Fax

(785) 562-3159

NPI assigned

Nov 14, 2005

Organization subpart

No

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

Authorized official

Name

Mr. James L Keller

Title

President

Phone

(785) 562-2359

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• bruce's body shop inc. dba marysville ambulance service Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Bruce'S Body Shop Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bruces Body Shop Inc

  • Ambulance
  • Marysville, KS
  • NPI 1962466383
  NPD tax ID

Locations

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124000401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "MARYSVILLE",
            "state": "KS",
            "postal_code": "665080148",
            "telephone_number": "785-562-2359",
            "fax_number": "785-562-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 CENTER ST",
            "city": "MARYSVILLE",
            "state": "KS",
            "postal_code": "665081727",
            "telephone_number": "785-562-2359",
            "fax_number": "785-562-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE'S BODY SHOP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "785-562-2359",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "KS",
            "license": "1180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00000112016",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "bruce's body shop inc. dba marysville ambulance service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Blumer, APRN
• Barry M Bongers, D.D.S.
• Linda Marie Bott, ARNP
• Cassandra Bramhall-Dvorak, OD
• Randall J Brown, M.D.
• Bruces Body Shop Inc
• Anne C Bruna, ARNP
• Ben M Bruna, M.D.
• Cambridge Blue Valley Senior Living LLC
• Brian Robert Carpenter, O.D.

• All providers in Marysville, KS
• Paramedic in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.