City of Bonham

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

300472 Issued in TX

Legal business name

CITY OF BONHAM

Doing business as

Bonham Fire Department

Practice address

2509 N Center St
Bonham, TX 75418-2134

Phone

(903) 583-3731

Fax

(903) 640-4941

NPI assigned

Jul 23, 2006

Last updated

Nov 19, 2013By 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

Brad Michael Nichols

Title

Fire Chief

Phone

(903) 640-4191

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BONHAM FIRE DEPARTMENT Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1679594584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 N CENTER ST",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754182134",
            "telephone_number": "903-583-3731",
            "fax_number": "903-640-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 N CENTER ST",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754182134",
            "telephone_number": "903-583-3731",
            "fax_number": "903-640-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BONHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "903-640-4191"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "300472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152654301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF TEXAS",
            "identifier": "AMB635",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BONHAM FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clyde William Butler Jr.
• Brian James Caldwell
• John Alfred Carter Jr., O.D.
• Catalyst Chiropractic PLLC
• Center Street Pharmacy Inc. (Fannin Pharmacy)
• Amy Beth Clark, LCSW, MSSW
• Lisa M Clark, DMD
• Peter A Clark, DMD
• Pamela Lynn Collins Aurand, LCSW, LCDC, LMFT
• Jennifer Lynn Collins, OTR/L

• Land Ambulance in Bonham, TX
• Providers in Bonham, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.