Fort Bend County

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

FORT BEND COUNTY

Practice address

4332 Highway 36 S
Rosenberg, TX 77471-9108

Phone

(281) 633-7085

NPI assigned

Feb 1, 2006

Last updated

Mar 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Petrilla

Title

Assistant Chief

Phone

(281) 633-7096

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• FORT BEND COUNTY Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Fort Bend County Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Fort Bend Health & Human Services

  • Public Health or Welfare Agency
  • Rosenberg, TX
  • NPI 1487926226
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Fort Bend Health & Human Services

  • Public Health or Welfare Agency
  • Rosenberg, TX
  • NPI 1487926226
  NPPES parent name

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1457322885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 SIENNA SPRINGS WAY STE 208",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597399",
            "telephone_number": "281-633-7092",
            "fax_number": "281-633-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4332 HIGHWAY 36 S",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774719108",
            "telephone_number": "281-633-7085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774693108",
            "country_code": "US",
            "telephone_number": "281-633-7064",
            "fax_number": "281-633-7060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORT BEND COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "PETRILLA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ASSISTANT CHIEF",
        "authorized_official_telephone_number": "281-633-7096"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086395301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FORT BEND COUNTY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "FORT BEND COUNTY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Deseree Joy Fojtik, RBT
• Jessica Fonseca, RBT
• Fort Bend Chiropractic & Wellness
• Fort Bend Christian Counseling Ctr
• Fort Bend Continuing Care Center LTD. Co. (Fort Bend Healthcare Center)
• Fort Bend County Clinical Health Services
• Fort Bend Dental Richmond, PLLC
• Fort Bend Health & Human Services
• Fort Bend LTC Corporation (Fort Bend HealthCare Center)
• Fort Bend Seniors Meals on Wheels & Much, Much More, Inc

• Land Ambulance in Rosenberg, TX
• Providers in Rosenberg, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.

Verify at the official NPI Registry.