Brent E. Vaughan
Individual provider Active NPI Non-emergency Medical Transport (VAN) · Alberta, VA
NPI 1336607993 · NPPES record last updated Mar 3, 2019
Key facts
- NPI
- 1336607993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Practice address
- 6244 Flat Rock Rd
Alberta, VA 23821-2223 - Phone
- (434) 774-4747
- NPI assigned
- Mar 3, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Vibes Medical Transportation LLC | Non-Emergency Medical Transport (Van) | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Yes |
Addresses
Primary practice location
6244 Flat Rock Rd
Alberta, VA 23821-2223
Mailing address
6244 Flat Rock Rd
Alberta, VA 23821-2223
Phone (434) 774-4747
Other providers in Alberta, VA
- Joseph James Sperber
- Bryan Studivant
- Kevin Studivant
- Sunshine Medical Transportation, LLC
- Sarah Knight Underdue
All providers in Alberta, VA · Non-emergency Medical Transport (VAN) in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.