Provider Demographics
NPI:1417372707
Name:B&R MEDICAL TRANSPORT INC
Entity Type:Organization
Organization Name:B&R MEDICAL TRANSPORT INC
Other - Org Name:B&R TRANSIT SERVICES INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRADLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ONEAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-497-6009
Mailing Address - Street 1:515 NW SALTZMAN RD
Mailing Address - Street 2:#861
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229-6098
Mailing Address - Country:US
Mailing Address - Phone:541-497-6009
Mailing Address - Fax:866-542-4660
Practice Address - Street 1:3960 E COMMERCIAL WAY SE
Practice Address - Street 2:SUITE B
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97322-7332
Practice Address - Country:US
Practice Address - Phone:541-497-6009
Practice Address - Fax:866-542-4660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)