City of Benbrook

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

220022 Issued in TX

Legal business name

CITY OF BENBROOK

Practice address

528 Mercedes St
Benbrook, TX 76126-2521

Phone

(817) 249-1727

Fax

(817) 249-0884

NPI assigned

May 31, 2005

Last updated

Jun 10, 2026By 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

Mr. William Jason Tate

Title

Fire Chief

Phone

(817) 249-1727

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1215930672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26569",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761260569",
            "telephone_number": "817-249-3000",
            "fax_number": "817-249-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 MERCEDES ST",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761262521",
            "telephone_number": "817-249-1727",
            "fax_number": "817-249-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BENBROOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "817-249-1727",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "220022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086550301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Benbrook, TX
• Providers in Benbrook, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.