Organization Active NPI

MM Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Louisville, KY
National Provider Identifier
1619648680
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MM MEDICAL TRANSPORTATION
Practice address
3340 Breckenridge LN Apt 5
Louisville, KY 40220-3238
Phone
(502) 716-4590
NPI assigned
Sep 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Authorized official

Name
Mohamed L Brahim
Title
Owner
Phone
(502) 281-2882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

3340 Breckenridge LN Apt 5
Louisville, KY 40220-3238

Mailing address

3340 Breckenridge LN Apt 5
Louisville, KY 40220-3238
Phone (502) 716-4590

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632182400000",
    "number": "1619648680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 BRECKENRIDGE LN APT 5",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402203238",
            "telephone_number": "502-716-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 BRECKENRIDGE LN APT 5",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402203238",
            "telephone_number": "502-716-4590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MM MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A",
        "authorized_official_last_name": "BRAHIM",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-281-2882"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.