Active NPI
Prudence Ambulance Service Inc
- Ambulance
- Bryan, TX
National Provider Identifier
1649568478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1000657
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tonyon Boyo
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | admin@prudenceems.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120127000583 | TX | Part B Supplier - Ambulance Service Supplier | 9830366129 | Practice locations: Bryan, TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Bryan, TX
- NPI 1285000919
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.