# BRADLEY BOLINGER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Integra Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891128153
- **Authorized official:** MR. BRADLEY BOLINGER (OWNER)
- **Authorized official phone:** (317) 821-1025

## Contact information

- **Practice address:** 23 N ALTON AVE, INDIANAPOLIS, IN 46222-3908
- **Practice address phone:** (317) 821-1025
- **Mailing address:** 23 N ALTON AVE, INDIANAPOLIS, IN 46222-3908
- **Mailing address phone:** (317) 625-7000
- **Mailing address fax:** (888) 446-6791

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 0989 | IN | Yes |

## Other

- **Enumeration date:** 08/09/2013
- **Last updated:** 10/31/2018