Active NPI
The Berwyn Fire Company
Doing business as Berwyn Fire Company
- Land Ambulance
- Berwyn, PA
National Provider Identifier
1255310439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- THE BERWYN FIRE COMPANY
- Doing business as
- Berwyn Fire Company
- Practice address
- 23 Bridge Ave
Berwyn, PA 19312-1715 - Phone
- (610) 644-6050
- Fax
- (610) 644-1830
- NPI assigned
- Jan 16, 2006
- Last updated
- Dec 4, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nam Truong
- Title
- President
- Phone
- (610) 644-6050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
23 Bridge Ave
Berwyn, PA 19312-1715
Mailing address
PO Box 535
Baldwinsville, NY 13027-0535
Phone (800) 927-5845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012557100002 | Medicaid | PA |
Other names 1
- Berwyn Fire Company
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081003000110 | PA | Part B Supplier - Ambulance Service Supplier | 4789752858 | Practice locations: Berwyn, PA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D1065696 | Berwyn Fire Company | Certificate of waiver | Mar 6, 2027 |
National Provider Directory
National Provider DirectoryLocations
23 Bridge Ave
Berwyn, PA 19312
Phone (610) 644-6050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764806400000",
"number": "1255310439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 535",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130270535",
"telephone_number": "800-927-5845",
"fax_number": "315-635-3289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 BRIDGE AVE",
"city": "BERWYN",
"state": "PA",
"postal_code": "193121715",
"telephone_number": "610-644-6050",
"fax_number": "610-644-1830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE BERWYN FIRE COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-16",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A",
"authorized_official_last_name": "TRUONG",
"authorized_official_first_name": "NAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "610-644-6050"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012557100002",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Berwyn Fire Company",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Berwyn Fire Company",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Berwyn, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.