MEDICARE: RYAN BROS AMBULANCE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508905282
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RYAN BROS AMBULANCE LLC

Provider Business Mailing Address
First Line	:	922 S PARK ST
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53715-1834
Country	:	US
Telephone Number	:	608-257-9591
Fax Number	:	608-257-9594

Provider Business Practice Location Address
First Line	:	922 S PARK ST
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53715-1834
Country	:	US
Telephone Number	:	608-257-9591
Fax Number	:	608-257-9594

Authorized Official
Title or Position	:	CFO
Name	:	MR. NORMAN ROSENBERG
Credential	:
Telephone Number	:	201-240-0171

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	06/12/2025

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Directions to “RYAN BROS AMBULANCE LLC ” Practice Location

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