Brosville Volunteer Fire Department, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

652 Issued in VA

Legal business name

BROSVILLE VOLUNTEER FIRE DEPARTMENT, INC.

Doing business as

Brosville Community Volunteer Fire Department

Practice address

11912 Martinsville Hwy
Danville, VA 24541-0873

Phone

(434) 685-3797

Fax

(434) 685-2209

NPI assigned

Jun 17, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Kyle Owen

Title

Battalion Chief

Phone

(434) 685-3797

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Brosville Community Volunteer Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1487975140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-8413",
            "fax_number": "270-744-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11912 MARTINSVILLE HWY",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245410873",
            "telephone_number": "434-685-3797",
            "fax_number": "434-685-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROSVILLE VOLUNTEER FIRE DEPARTMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "BATTALION CHIEF",
        "authorized_official_telephone_number": "434-685-3797",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL - FECA/ BL / ENERGY",
            "identifier": "706434900",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487975140",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brosville Community Volunteer Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Breedlove
• Belinda Brew
• Christopher Broaddus, D.O.
• Andreshia Brooks, FNP
• Katherine Beasley Brooks, PHARM D
• Timothy Wayne Brotherton, M,D,
• Judy C Broughton, MN, FNP
• Robert E Broughton, M.D.
• L Emily Brown Cabezudo, PHD
• Barbara Jo Brown

• Land Ambulance in Danville, VA
• Providers in Danville, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.