Village of Bradner
Organization Active NPI Land Ambulance · Bradner, OH
NPI 1376536276 · NPPES record last updated Jul 7, 2026
Key facts
- NPI
- 1376536276
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- VILLAGE OF BRADNER
- Practice address
- 117 E Crocker St
Bradner, OH 43406-9805 - Phone
- (419) 288-2890
- Fax
- (419) 288-0053
- NPI assigned
- Aug 25, 2005
- Organization subpart
- No
Authorized official
- Name
- Michael Gudakunst II
- Title
- Mayor
- Phone
- (419) 288-2890
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090522000319 | OH | Part B Supplier - Ambulance Service Supplier | 5799834636 | Practice locations: Bradner, OH |
National Provider Directory
Locations
117 E Crocker St
Bradner, OH 43406
Phone (419) 288-2012
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
117 E Crocker St
Bradner, OH 43406-9805
Mailing address
PO Box 392907
Pittsburgh, PA 15251-9907
Phone (800) 962-1484
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10202 | Other | PARAMOUNT | |
| 000000156053 | Other | OH | ANTHEM BLUE CROSS |
| 0135713 | Medicaid | OH | |
| 791590551 | Other | RAILROAD MEDICARE |
Other names
- Village of Bradner Ambulance Service
Other providers in Bradner, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.