Michael E Ebong

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

908 Monticello Dr
Burleson, TX 76028-8208

Phone

(682) 438-1329

NPI assigned

Jun 19, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Boli and Son Express LLC

  • Non-emergency Medical Transport (VAN)
  • Burleson, TX
  • NPI 1114602141
  NPD Authorized official

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1275218299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 MONTICELLO DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760288208",
            "telephone_number": "682-438-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 MONTICELLO DR",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760288208",
            "telephone_number": "682-438-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBONG",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Kathleen Dwyer, FNP-C
• Daniel Chase Dyess, D.C.
• Kelli Lin Eager, LMT
• Kayla N Eaton, LPC
• Ebd Bemc Burleson, LLC
• Rebecca Eckstrom
• Belinda Eder
• Elizabeth Hall Edmiston, PT
• Educare Community Living Corporation - Texas
• Mark Craig Eissler, D.D.S.

• Driver in Burleson, TX
• Providers in Burleson, TX by specialty
• Driver in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; 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.