BRODHEAD AREA EMS
NPI 1366495269
Ambulance - Land Transport in Brodhead, WI

Q: What is Brodhead Area Emergency Medical's NPI number?

The NPI number for Brodhead Area Emergency Medical is 1366495269. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Brodhead Area Ems.

Q: What is Brodhead Area Emergency Medical's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Active since May 19, 2006CLIA 52D2161003 · Waiver

1003 12TH ST, BRODHEAD, WI 53520(608) 897-4092 Get Directions Write a Review

NPPES record last updated: December 31, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Brodhead Area Ems NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRODHEAD AREA EMS (NPI 1366495269) is a healthcare organization registered as a land transport in Brodhead, Wisconsin and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through January 23, 2027 and lists Bryan Niedermeier, Captain, as its authorized official.

NPPES Registry Identity

NPI1366495269

Entity TypeOrganization

Primary Taxonomy3416L0300X

Legal Business NameBRODHEAD AREA EMERGENCY MEDICAL

Location Address1003 12TH STBrodhead, WI 53520-1535

Mailing AddressPo Box 14Brodhead, WI 53520-0014

Phone(608) 897-4092

Organization SubpartNo

Authorized OfficialBryan NiedermeierCaptain · (608) 897-4092

Enumeration DateMay 19, 2006

Last NPPES UpdateDecember 31, 2012

✔ NPI 1366495269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services

Taxonomy Code3416L0300X

1003 12TH ST, Brodhead, WI 53520

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Other Names 1

Doing Business AsBrodhead Area Ems

Other Identifiers 10

Other=========016Bcbs

Other=========016Valley Health Plan

Other1019784Physician's Plus

Other41345900WI · Hirsp

Medicare ID-Type Unspecified590012621Railroad Medicare

Medicaid=========001IL

Medicare ID-Type Unspecified000081269Medicare

Medicaid41345900WI

Other000081269Advocare Mchmo

OtherWI0100John Deere

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2161003

Brodhead Area Ems, Inc · Brodhead, WI

Active · expires Jan 23, 2027

CLIA Number52D2161003

Laboratory TypeAmbulance

Certificate Effective DateJanuary 24, 2025

Certificate Expiration DateJanuary 23, 2027

Laboratory DirectorMr. Domanic Wiegel

Laboratory Phone(608) 897-4092

Laboratory LocationBrodhead Area Ems, Inc1003 12th Street, Brodhead, WI 53520

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425

Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.

1,742 services71 patients

Ambulance service, basic life support, emergency transport (bls-emergency) A0429

Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.

55 services47 patients

Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427

Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.

43 services35 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brodhead Area Emergency Medical's NPI number?

The NPI number for Brodhead Area Emergency Medical is 1366495269. It was assigned to this organization in the NPPES registry on May 19, 2006. The provider is doing business as Brodhead Area Ems.

Where is Brodhead Area Emergency Medical located?

Brodhead Area Emergency Medical is located at 1003 12th St, Brodhead, WI 53520. The listed phone number is (608) 897-4092.

What is Brodhead Area Emergency Medical's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Does Brodhead Area Emergency Medical hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2161003) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brodhead Area Emergency Medical was last updated on December 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.