INDIAN RIVER ASSISTING SERVICES PA NPI 1093873226

NPI Information

  • NPI: 1093873226
  • Provider Name: INDIAN RIVER ASSISTING SERVICES PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Address: 1000 36TH ST
    VERO BEACH, FL
    ZIP 32960
  • Phone: (772) 713-7231

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NPI Details

INDIAN RIVER ASSISTING SERVICES PA is a surgical physician assistant in Vero Beach, FL. INDIAN RIVER ASSISTING SERVICES PA NPI is 1093873226. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1000 36TH ST
VERO BEACH, FL
ZIP 32960-862
Phone: (772) 713-7231

The provider's authorized official is Trent Smith Brister .
The authorized official title is President and has the following contact phone number (772) 713-7231.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 10/4/2007.

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 License Number License State Primary
1363AS0400XPhysician AssistantSurgicalPA3641FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DD8238OTHERFLORIDARAILROAD
2K8629MEDICARE PINFLORIDA

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: 11/21/2025

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