Active NPI
Philip Logan Fleming, EMT-B
- Basic Emergency Medical Technician
- Ft. Rucker, AL
National Provider Identifier
1245549542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- B1602477
- Practice address
- BLDG 301 Andrews Ave
Lyster Army Health Clinic
Ft. Rucker, AL 36362 - Phone
- (334) 255-0452
- NPI assigned
- Oct 4, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | B1602477 | TX | Primary |
Addresses
Primary practice location
BLDG 301 Andrews Ave
Lyster Army Health Clinic
Ft. Rucker, AL 36362
Mailing address
BLDG 301 Andrews Ave
Lyster Army Health Clinic
Ft. Rucker, AL 36362
Phone (334) 255-0452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B1602477 | TX | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1286150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286150400000",
"number": "1245549542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BLDG 301 ANDREWS AVE",
"address_2": "LYSTER ARMY HEALTH CLINIC",
"city": "FT. RUCKER",
"state": "AL",
"postal_code": "36362",
"telephone_number": "334-255-0452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 301 ANDREWS AVE",
"address_2": "LYSTER ARMY HEALTH CLINIC",
"city": "FT. RUCKER",
"state": "AL",
"postal_code": "36362",
"telephone_number": "334-255-0452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "PHILIP",
"middle_name": "LOGAN",
"credential": "EMT-B",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-04",
"last_updated": "2010-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "TX",
"license": "B1602477",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft. Rucker, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.