Organization Active NPI

Medics Ambulance Serv D

  • Land Ambulance
  • Deerfield Beach, FL
National Provider Identifier
1295886000
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0617 Issued in FL
Legal business name
MEDICS AMBULANCE SERV D
Practice address
378 SW 12TH Ave
Deerfield Beach, FL 33442-3106
Phone
(954) 763-1776
Fax
(954) 312-1798
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Authorized official

Name
Mark Bruning
Title
President
Phone
(303) 495-1220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0617 FL Primary

Addresses

Primary practice location

378 SW 12TH Ave
Deerfield Beach, FL 33442-3106

Mailing address

378 SW 12TH Ave
Deerfield Beach, FL 33442-3106
Phone (954) 763-1776

Other identifiers 1

IdentifierTypeStateIssuer
400085400MedicaidFL

National Provider Directory

National Provider Directory

Locations

378 SW 12th Ave
Deerfield Beach, FL 33442
Phone (954) 763-1776

351 S Cypress Rd
Ste 400
Pompano Beach, FL 33060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1295886000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 SW 12TH AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423106",
            "telephone_number": "954-763-1776",
            "fax_number": "954-312-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "378 SW 12TH AVE",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334423106",
            "telephone_number": "954-763-1776",
            "fax_number": "954-312-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICS AMBULANCE SERV D",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "BRUNING",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-495-1220"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "0617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400085400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; 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.