Organization Active NPI

Ponderosa Aviation, Inc

Doing business as Ponderosa Ground Ambulance

  • Land Ambulance
  • Safford, AZ
National Provider Identifier
1184490039
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PONDEROSA AVIATION, INC
Doing business as
Ponderosa Ground Ambulance
Practice address
4500 E Aviation Way
Safford, AZ 85546-9479
Phone
(928) 428-7820
Fax
(928) 428-7824
NPI assigned
Dec 1, 2023
Last updated
Jun 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Authorized official

Name
Dr. Rex D. BryceNPI 1114973153
Title
Owner
Phone
(928) 348-3703

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

4500 E Aviation Way
Safford, AZ 85546-9479

Mailing address

4500 E Aviation Way
Safford, AZ 85546-9479
Phone (928) 428-7820

Other names 1

  • Ponderosa Ground Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240702000708 AZ Part B Supplier - Ambulance Service Supplier 2163756289 Practice locations: Safford, AZ

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

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.

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1184490039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 E AVIATION WAY",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855469479",
            "telephone_number": "928-428-7820",
            "fax_number": "928-428-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E AVIATION WAY",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855469479",
            "telephone_number": "928-428-7820",
            "fax_number": "928-428-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONDEROSA AVIATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "BRYCE",
        "authorized_official_first_name": "REX",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-348-3703",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ponderosa Ground Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Safford, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.