Brotherly Non-Medical Transport

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

BROTHERLY NON-MEDICAL TRANSPORT

Practice address

2095 Black Oak LN
Ellenwood, GA 30294-5511

Phone

(404) 431-7216

NPI assigned

Mar 20, 2024

Organization subpart

No

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

Authorized official

Name

Vladimir Benoit

Title

Organization

Phone

(404) 431-7216

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1811757685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 BLACK OAK LN",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302945511",
            "telephone_number": "404-431-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 BLACK OAK LN",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302945511",
            "telephone_number": "404-431-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTHERLY NON-MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "BENOIT",
        "authorized_official_first_name": "VLADIMIR",
        "authorized_official_title_or_position": "ORGANIZATION",
        "authorized_official_telephone_number": "404-431-7216"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Blocker
• Bohldface Byu-Te, LLC
• Denise Boone
• Melody Lawanda Bray-Ross, MD
• Latida Brooks, REGISTERED NURSE
• Michelle D Broussard, PHD, RDN, LD
• Eleanor Louise Brown, LPC
• Joan Icilda Brown
• Latoya Sophia Brown, RBT
• Toya Butler, MA, SLP

• Non-emergency Medical Transport (VAN) in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.