NORTH BREVARD MEDICAL SUPPORT INC NPI 1073287702

NPI Information

NPI: 1073287702
Provider Name: NORTH BREVARD MEDICAL SUPPORT, INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
250 HARRISON ST STE 100
TITUSVILLE, FL
ZIP 32780
Phone: (321) 268-6674
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NORTH BREVARD MEDICAL SUPPORT, INC is a diagnostic radiology radiology in Titusville, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NORTH BREVARD MEDICAL SUPPORT, INC NPI is 1073287702. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

250 HARRISON ST STE 100
TITUSVILLE, FL
ZIP 32780-098
Phone: (321) 268-6674
Fax: (321) 268-6138

The provider's authorized official is Kent Andrew Bailey .
The authorized official title is Vp Finance and has the following contact phone number (321) 268-6111.

The enumeration date for this NPI number is 8/5/2021 and was last updated on 8/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207X00000X	Orthopaedic Surgery		No
2	174400000X	Specialist		No
3	261Q00000X	Clinic/Center		No
4	2085R0202X	Radiology	Diagnostic Radiology	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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