Organization Active NPI

Prudence Ambulance Service Inc

  • Ambulance
  • Bryan, TX
National Provider Identifier
1649568478
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1000657 Issued in TX
Legal business name
PRUDENCE AMBULANCE SERVICE INC
Doing business as
PRUDENCE EMS
Practice address
2600 E Villa Maria Rd
Bryan, TX 77802-2000
Phone
(979) 551-7001
Fax
(979) 200-2084
NPI assigned
Jul 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Tonyon BoyoNPI 1285000919
Title
Administrator
Phone
(979) 551-7000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1000657 TX Primary

Addresses

Primary practice location

2600 E Villa Maria Rd
Bryan, TX 77802-2000

Mailing address

2600 E Villa Maria Rd
Bryan, TX 77802-2000
Phone (979) 551-7001

Other names 1

  • PRUDENCE EMS Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@prudenceems.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120127000583 TX Part B Supplier - Ambulance Service Supplier 9830366129 Practice locations: Bryan, TX

National Provider Directory

National Provider Directory

Locations

2600 E Villa Maria Rd
Bryan, TX 77802
Phone (979) 551-7000

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": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1649568478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 E VILLA MARIA RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022000",
            "telephone_number": "979-551-7001",
            "fax_number": "979-200-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 E VILLA MARIA RD",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022000",
            "telephone_number": "979-551-7001",
            "fax_number": "979-200-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUDENCE AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "BOYO",
        "authorized_official_first_name": "TONYON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "979-551-7000"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "TX",
            "license": "1000657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@prudenceems.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2600 E Villa Maria Rd",
            "city": "Bryan",
            "state": "TX",
            "country_code": "US",
            "postal_code": "778022000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PRUDENCE EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.