BREVARD PAIN MANAGEMENT INC. NPI 1346251022

NPI Information

  • NPI: 1346251022
  • Provider Name: BREVARD PAIN MANAGEMENT, INC.
  • Classification: Anesthesiology - 207LP2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Address: 1832 GARDEN ST
    TITUSVILLE, FL
    ZIP 32796
  • Phone: (321) 264-1961

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NPI Details

BREVARD PAIN MANAGEMENT, INC. is a pain medicine anesthesiology in Titusville, FL. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. BREVARD PAIN MANAGEMENT, INC. NPI is 1346251022. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1832 GARDEN ST
TITUSVILLE, FL
ZIP 32796-200
Phone: (321) 264-1961
Fax: (321) 264-0472

The provider's authorized official is Todd B Jaffe .
The authorized official title is President and has the following contact phone number (321) 757-0577.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 10/25/2010.

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
1207LA0401XAnesthesiologyAddiction MedicineNo
2207LP2900XAnesthesiologyPain MedicineYes

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
10692212-00MEDICAIDFLORIDA
224949MEDICARE PINFLORIDA
361286ZMEDICARE PINFLORIDA
4CM3459OTHERFLORIDARAILROAD MEDICARE PTAN

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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