Organization Active NPI

Bulverde-Spring Branch EMS

  • Ambulance
  • Spring Branch, TX
National Provider Identifier
1477577245
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
46003 Issued in TX
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

Updated by the provider on May 15, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
590001497OtherRAILROAD MEDICARE
1477577245MedicaidTX

Other names 1

  • BULVERDE-SPRING BRANCH Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 EMS2 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.

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.

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.

Verify at the official NPI Registry.