Bruce A Ellington

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

License

45552042 Issued in TX

Practice address

6506 Rawdon Stream LN
Sugar Land, TX 77479-6834

Phone

(310) 422-2958

NPI assigned

Mar 1, 2022

Last updated

Jul 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bruce Ellington Enterprises

  • Secured Medical Transport (VAN)
  • Sugar Land, TX
  • NPI 1104550169
  NPD Authorized official

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1225784028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6506 RAWDON STREAM LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796834",
            "telephone_number": "310-422-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6506 RAWDON STREAM LN",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796834",
            "telephone_number": "310-422-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLINGTON",
        "first_name": "BRUCE",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "TX",
            "license": "45552042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45552042",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elite Psychiatry Center PLLC
• Eliza Healthcare
• Bahia Elkamand, NP
• Ella Hospitalist PA
• Kelsey Ellenberg, RD
• Bethany Elliott
• Paul W Elliott, RPH
• B Keith Ellis, M. D.
• Jocelyn Ellis
• Megan Leigh Ellis, PT, DPT

• Secured Medical Transport (VAN) in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Secured Medical Transport (VAN) in Texas

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