Active NPI
Bulverde-Spring Branch EMS
- Ambulance
- Spring Branch, TX
National Provider Identifier
1477577245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 46003
- Legal business name
- BULVERDE-SPRING BRANCH EMS
- Practice address
- 353 Rodeo Dr
Spring Branch, TX 78070 - Phone
- (830) 228-4200
- Fax
- (800) 353-2196
- NPI assigned
- Jul 26, 2006
- 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
- Mark Southwell
- Title
- EMS Chief
- Phone
- (830) 228-4200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 46003 | TX | Primary |
Addresses
Primary practice location
353 Rodeo Dr
Spring Branch, TX 78070
Mailing address
PO Box 38
Spring Branch, TX 78070-0038
Phone (830) 228-4501
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590001497 | Other | RAILROAD MEDICARE | |
| 1477577245 | Medicaid | TX |
Other names 1
- BULVERDE-SPRING BRANCH
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060220000265 | TX | Part B Supplier - Ambulance Service Supplier | 4183639693 | Practice locations: Spring Branch, TX |
National Provider Directory
National Provider Directory- Tax ID family
- Bulverde-Spring Branch EMS
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulance
- Spring Branch, TX
- NPI 1821413840
Locations
4201 US Highway 281 N
Spring Branch, TX 78070
Phone (830) 980-9452
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Paramedic
- Spring Branch, TX
- NPI 1902325954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747267200000",
"number": "1477577245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 38",
"city": "SPRING BRANCH",
"state": "TX",
"postal_code": "780700038",
"telephone_number": "830-228-4501",
"fax_number": "830-228-4503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 RODEO DR",
"city": "SPRING BRANCH",
"state": "TX",
"postal_code": "78070",
"telephone_number": "830-228-4200",
"fax_number": "800-353-2196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BULVERDE-SPRING BRANCH EMS",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-26",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A",
"authorized_official_last_name": "SOUTHWELL",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "EMS CHIEF",
"authorized_official_telephone_number": "830-228-4200"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "TX",
"license": "46003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590001497",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1477577245",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "BULVERDE-SPRING BRANCH",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spring Branch, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.