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Contact Information

BREVARD PHYSICIAN ASSOCIATES, PLLC
1775 W HIBISCUS BLVD STE 215
MELBOURNE, FL32901-2627
 Phone: 321-837-3820
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Anesthesiologist Assistant

367H00000X 32 Anesthesiology Assistant
 

Body Imaging

2085B0100X
 

Diagnostic Neuroimaging

2085D0003X
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Diagnostic Ultrasound

2085U0001X
 

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Neuroradiology

2085N0700X
 

Nuclear Radiology

2085N0904X
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Pediatric Radiology

2085P0229X
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Vascular & Interventional Radiology

2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for BREVARD PHYSICIAN ASSOCIATES, PLLC

NPI # 1598008955
LBN Legal business name BREVARD PHYSICIAN ASSOCIATES, PLLC
Authorized official MARTY BROWN - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2013
Last updated 12/15/2023 - About 2 years ago
Identifiers
FL Medicaid 104036300
FL Other LQ014 FL MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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