Organization Active NPI

Bradley Bolinger

  • Ambulance
  • Indianapolis, IN
National Provider Identifier
1891128153
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0989 Issued in IN
Legal business name
BRADLEY BOLINGER
Practice address
23 N Alton Ave
Indianapolis, IN 46222-3908
Phone
(317) 821-1025
NPI assigned
Aug 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Authorized official

Name
Mr. Bradley Bolinger
Title
Owner
Phone
(317) 821-1025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0989 IN Primary

Addresses

Primary practice location

23 N Alton Ave
Indianapolis, IN 46222-3908

Mailing address

23 N Alton Ave
Indianapolis, IN 46222-3908
Phone (317) 625-7000

Other names 1

  • Integra Ambulance Doing business as

National Provider Directory

National Provider Directory

Locations

23 N Alton Ave
Indianapolis, IN 46222
Phone (317) 625-7000

NPI Registry JSON

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540944000000",
    "number": "1891128153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N ALTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462223908",
            "telephone_number": "317-625-7000",
            "fax_number": "888-446-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 N ALTON AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462223908",
            "telephone_number": "317-821-1025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY BOLINGER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-09",
        "last_updated": "2018-10-31",
        "status": "A",
        "authorized_official_last_name": "BOLINGER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-821-1025",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "IN",
            "license": "0989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integra Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.