NPIMap

Organization Active NPI

Bernice Coleman

  • Private Vehicle
  • Wylie, TX
National Provider Identifier
1194460931
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
BERNICE COLEMAN
Practice address
405 Isaac Cir Apt D
Wylie, TX 75098-9036
Phone
(972) 880-7217
NPI assigned
May 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Bernice ColemanNPI 1134862030
Title
Owner
Phone
(972) 880-7217

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
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

405 Isaac Cir Apt D
Wylie, TX 75098-9036

Mailing address

405 Isaac Cir Apt D
Wylie, TX 75098-9036
Phone (972) 880-7217

Other identifiers 1

IdentifierTypeStateIssuer
33676977OtherARDRIVER LICENSE

Other names 1

  • Bernice Coleman Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Bernice Other

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1194460931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 ISAAC CIR APT D",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750989036",
            "telephone_number": "972-880-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 ISAAC CIR APT D",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750989036",
            "telephone_number": "972-880-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNICE COLEMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-880-7217"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "33676977",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Bernice",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Bernicecoleman",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Bernicecoleman",
            "address_1": "405 Isaac Cir Apt D",
            "city": "Wylie",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750989036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Bernice Coleman",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bernice Coleman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.