Organization Active NPI

Elite Medical Transport Inc

  • Land Ambulance
  • Snow Hill, NC
National Provider Identifier
1922012905
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1623 Issued in NC
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20070126000683 NC Part B Supplier - Ambulance Service Supplier 0446251805 Practice locations: Snow Hill, NC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.