MBD Transport LLC

Primary specialty

ContractorTaxonomy code 171W00000X

Legal business name

MBD TRANSPORT LLC

Practice address

3906 Turnbridge CT Unit 311
Brunswick, OH 44212-3093

Phone

(440) 855-4703

NPI assigned

May 19, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Trevor Wright

Title

Operation Manager

Phone

(513) 449-0777

Specialties & licenses 2

Addresses

Practitioners 1

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

• Idrissa Derra

  • Contractor
  • Brunswick, OH
  • NPI 1194309989
  NPD

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1467026708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 TURNBRIDGE CT UNIT 311",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123093",
            "telephone_number": "216-801-5639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 TURNBRIDGE CT UNIT 311",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442123093",
            "telephone_number": "440-855-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBD TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "OPERATION MANAGER",
        "authorized_official_telephone_number": "513-449-0777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Erin Martin, LPCC
• Derrick Francis Martin, LPCC-S
• Laura A Martz
• Shanice Ann Martz
• Elizabeth Mazzone, LPN
• Colleen A McCaffery, LPN
• Karen McCormick
• Laurel Ann McCourt, M.D.
• Devin Scott McCue
• Molly McDermott

• Contractor in Brunswick, OH
• Providers in Brunswick, OH by specialty
• Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.