Organization Active NPI

Tac Medical LLC

  • Land Ambulance
  • Bristow, VA
National Provider Identifier
1487594040
Registry record updated Apr 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TAC MEDICAL LLC
Practice address
12467 Iona Sound Dr
Bristow, VA 20136-3030
Phone
(571) 220-1894
NPI assigned
Mar 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2026

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

Authorized official

Name
James Gallant
Title
Owner/Partner
Phone
(571) 220-1894

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

12467 Iona Sound Dr
Bristow, VA 20136-3030

Mailing address

8667 Ruby Rise PL
Bristow, VA 20136-2301
Phone (571) 220-1894

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1774915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775347200000",
    "number": "1487594040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8667 RUBY RISE PL",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201362301",
            "telephone_number": "571-220-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12467 IONA SOUND DR",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201363030",
            "telephone_number": "571-220-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAC MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-31",
        "last_updated": "2026-04-05",
        "certification_date": "2026-04-05",
        "status": "A",
        "authorized_official_last_name": "GALLANT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "571-220-1894"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristow, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2026; 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.