Bryans Road Vol Fire Dept & Rescue Squad Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BRYANS ROAD VOL FIRE DEPT & RESCUE SQUAD INC

Practice address

3099 Livingston Rd
Bryans Road, MD 20616

Phone

(301) 375-7055

NPI assigned

Nov 21, 2017

Last updated

Nov 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cathy Lynn Carter

Title

Billing Agent

Phone

(410) 479-4790

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511222400000",
    "number": "1578077996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541",
            "city": "DENTON",
            "state": "MD",
            "postal_code": "216290541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3099 LIVINGSTON RD",
            "city": "BRYANS ROAD",
            "state": "MD",
            "postal_code": "20616",
            "telephone_number": "301-375-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYANS ROAD VOL FIRE DEPT & RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-21",
        "last_updated": "2017-11-21",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "410-479-4790"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beauty in Bloom Therapy, LLC
• Ernest Norris Belser, PHARMD
• Jermin Boules
• Jasmine Briscoe
• Shaniece Brown, RDH
• Lou Bryant
• Pamela Cambridge
• Shawntae Lillian Chase, LCSW
• Skye Anyai Clifford
• Brian K Cole Sr.

• Land Ambulance in Bryans Road, MD
• Providers in Bryans Road, MD by specialty
• Land Ambulance in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; 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.