Dynesty Bruce

Individual provider Active NPI Non-emergency Medical Transport (VAN) · Chalmette, LA

NPI 1477199461 · NPPES record last updated Oct 11, 2022

Key facts

NPI
1477199461
Entity type
Individual (NPI type 1)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
Practice address
2129 Fenelon St
Chalmette, LA 70043-4947
Phone
(504) 266-1237
NPI assigned
Nov 25, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Go Grimes Transportation LLC Non-Emergency Medical Transport (Van) Current
since Oct 16, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X LA Yes

Addresses

Primary practice location

2129 Fenelon St
Chalmette, LA 70043-4947

Mailing address

2129 Fenelon St
Chalmette, LA 70043-4947
Phone (504) 266-1237

Other providers in Chalmette, LA

All providers in Chalmette, LA · Non-emergency Medical Transport (VAN) in Louisiana

Sources for this page

Verify at the official NPI Registry.