MEDICARE: BOYKINS & BROWN TRANSPORTATION 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1447877865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BOYKINS & BROWN TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	249 CENTRAL PARK AVE STE 300-31
Second Line	:
City	:	VA BEACH
State	:	VA
Zip	:	23462-3099
Country	:	US
Telephone Number	:	757-712-3204
Fax Number	:

Provider Business Practice Location Address
First Line	:	249 CENTRAL PARK AVE STE 300-31
Second Line	:
City	:	VA BEACH
State	:	VA
Zip	:	23462-3099
Country	:	US
Telephone Number	:	757-712-3204
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	RONTRELL LAMONT BOYKINS
Credential	:
Telephone Number	:	757-712-3204

Provider Enumeration Date	:	07/01/2020
Last Update Date	:	03/17/2022

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