Active NPI
Elite Medical Transport Inc
- Land Ambulance
- Snow Hill, NC
National Provider Identifier
1922012905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1623
- Legal business name
- ELITE MEDICAL TRANSPORT INC
- Practice address
- 109 Heritage Xing
Snow Hill, NC 28580-1459 - Phone
- (252) 747-1232
- NPI assigned
- Jul 28, 2006
- Last updated
- Jun 26, 2025
- 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
- Chad Bradicich
- Title
- Ceo/President
- Phone
- (252) 747-1232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1623 | NC | Primary |
Addresses
Primary practice location
109 Heritage Xing
Snow Hill, NC 28580-1459
Mailing address
109 Heritage Xing
Snow Hill, NC 28580-1459
Phone (252) 747-1232
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070126000683 | NC | Part B Supplier - Ambulance Service Supplier | 0446251805 | Practice locations: Snow Hill, NC |
National Provider Directory
National Provider DirectoryLocations
534 N 35th St
Ste M
Morehead City, NC 28557
Phone (252) 247-3657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750896000000",
"number": "1922012905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 HERITAGE XING",
"city": "SNOW HILL",
"state": "NC",
"postal_code": "285801459",
"telephone_number": "252-747-1232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 HERITAGE XING",
"city": "SNOW HILL",
"state": "NC",
"postal_code": "285801459",
"telephone_number": "252-747-1232"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE MEDICAL TRANSPORT INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-28",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A",
"authorized_official_last_name": "BRADICICH",
"authorized_official_first_name": "CHAD",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "252-747-1232"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NC",
"license": "1623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snow Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.