Bruvvers Transport

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

BRUVVERS TRANSPORT

Practice address

Middlewells Community #52
Sanders, AZ 86512

Phone

(505) 457-6186

NPI assigned

Apr 4, 2024

Last updated

Apr 4, 2024By 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. Brandon Scott Willie

Title

Member/Owner

Phone

(505) 457-6186

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1235981994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 SAGUARO DR",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016778",
            "telephone_number": "505-457-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MIDDLEWELLS COMMUNITY #52",
            "city": "SANDERS",
            "state": "AZ",
            "postal_code": "86512",
            "telephone_number": "505-457-6186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUVVERS TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "WILLIE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "505-457-6186",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Alan Bates, R.PH.
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• Busanda Lee Frost, ARNP

• Non-emergency Medical Transport (VAN) in Sanders, AZ
• Providers in Sanders, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.