Active NPI
Washington County
- Land Ambulance
- Brenham, TX
National Provider Identifier
1811075807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 239006
- Legal business name
- WASHINGTON COUNTY
- Practice address
- 1875 Highway 290 W
Brenham, TX 77833-5217 - Phone
- (979) 277-6267
- Fax
- (979) 277-6270
- NPI assigned
- Nov 1, 2006
- 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
- Kevin Deramus
- Title
- Chief
- Phone
- (979) 277-6267
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Air Ambulance | 3416A0800X | |||
| Land Ambulance | 3416L0300X | 239006 | TX | Primary |
Addresses
Primary practice location
1875 Highway 290 W
Brenham, TX 77833-5217
Mailing address
1875 Highway 290 W
Brenham, TX 77833-5217
Phone (979) 277-6267
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 506661 | Other | TX | BC/BS |
| 000122401 | Medicaid | TX |
Other names 1
- Washington County EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071017000662 | TX | Part B Supplier - Ambulance Service Supplier | 5991891244 | Practice locations: Brenham, TX; Burton, TX; Chappell Hill, TX; Washington, TX |
National Provider Directory
National Provider Directory- Tax ID family
- Washington County
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health & General Preventive Medicine Physician
- Brenham, TX
- NPI 1255682001
Locations
1100 E Blue Bell Rd
Brenham, TX 77833
Phone (979) 277-6266
520 N Railroad St
Burton, TX 77835
Phone (979) 277-6267
5055 Main St
Chappell Hill, TX 77426
Phone (979) 277-6267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765411200000",
"number": "1811075807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1875 HIGHWAY 290 W",
"city": "BRENHAM",
"state": "TX",
"postal_code": "778335217",
"telephone_number": "979-277-6267",
"fax_number": "979-277-6270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1875 HIGHWAY 290 W",
"city": "BRENHAM",
"state": "TX",
"postal_code": "778335217",
"telephone_number": "979-277-6267",
"fax_number": "979-277-6270"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASHINGTON COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A",
"authorized_official_last_name": "DERAMUS",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "979-277-6267"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TX",
"license": "239006",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "506661",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000122401",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Washington County EMS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Washington County EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brenham, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.