NPIMap

Organization Active NPI

Bracken County Ambulance District

Doing business as Bracken County EMS

  • Ambulance
  • Brooksville, KY
National Provider Identifier
1710980347
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
BRACKEN COUNTY AMBULANCE DISTRICT
Doing business as
Bracken County EMS
Practice address
592 Bladeston Drive
Brooksville, KY 41004-8123
Phone
(606) 735-3783
Fax
(606) 735-2694
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Penny Doyle
Title
Director
Phone
(606) 735-3783

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary
Land Ambulance 3416L0300X 1145 KY

Addresses

Primary practice location

592 Bladeston Drive
Brooksville, KY 41004-8123

Mailing address

836 4TH Ave
Huntington, WV 25701-1407
Phone (304) 521-1576

Other identifiers 7

IdentifierTypeStateIssuer
P00652148OtherKYRAILROAD MEDICARE
170660801MedicaidTX
55012017MedicaidKY
000000070024OtherKYBCBS OF KENTUCKY
2504132MedicaidOH
56003551MedicaidKY
590587008OtherKYRAILROAD MEDICARE

Other names 1

  • Bracken County EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128000437 KY Part B Supplier - Ambulance Service Supplier 6305749474 Practice locations: Brooksville, KY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1710980347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011407",
            "telephone_number": "304-521-1576",
            "fax_number": "304-521-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592 BLADESTON DRIVE",
            "city": "BROOKSVILLE",
            "state": "KY",
            "postal_code": "410048123",
            "telephone_number": "606-735-3783",
            "fax_number": "606-735-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACKEN COUNTY AMBULANCE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "606-735-3783"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KY",
            "license": "1145",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00652148",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170660801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55012017",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KENTUCKY",
            "identifier": "000000070024",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2504132",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56003551",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590587008",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bracken County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooksville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.