Active NPI
Lifeguard Ambulance Service of Texas, LLC
- Ambulance
- Brownwood, TX
National Provider Identifier
1457716037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- LIFEGUARD AMBULANCE SERVICE OF TEXAS, LLC
- Practice address
- 916 Booker St
Brownwood, TX 76801-2506 - Phone
- (936) 204-6845
- NPI assigned
- Dec 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian Scott Tierney
- Title
- Evp, Chief Financial Officer
- Phone
- (833) 703-2294
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary | ||
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
916 Booker St
Brownwood, TX 76801-2506
Mailing address
PO Box 847343
Dallas, TX 75284-7343
Phone (800) 913-9106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457716037 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111020000751 | TX | Part B Supplier - Ambulance Service Supplier | 9739351503 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Brownwood, TX; Crockett, TX; Early, TX |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2126943 | Lifeguard Ambulance Service of Texas, LLC | Certificate of waiver | Mar 6, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Lifeguard Ambulance Service
- Part of
- Lifeguard Ambulance Service
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Addison, TX
- NPI 1396003513
-
- Ambulance
- Crockett, TX
- NPI 1013301647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773878400000",
"number": "1457716037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 847343",
"city": "DALLAS",
"state": "TX",
"postal_code": "752847343",
"telephone_number": "800-913-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 BOOKER ST",
"city": "BROWNWOOD",
"state": "TX",
"postal_code": "768012506",
"telephone_number": "936-204-6845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFEGUARD AMBULANCE SERVICE OF TEXAS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-23",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A",
"authorized_official_last_name": "TIERNEY",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "EVP, CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "833-703-2294"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1457716037",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brownwood, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.