BREVARD PRIMARY CARE LLC NPI 1376958462

NPI Information

  • NPI: 1376958462
  • Provider Name: BREVARD PRIMARY CARE LLC
  • Classification: Internal Medicine - 207RI0200X
  • Specialization: Infectious Disease
  • Entity Type: Organization
  • Address: 2328 CITADEL WAY STE 103-319
    MELBOURNE, FL
    ZIP 32940
  • Phone: (321) 757-1900

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NPI Details

BREVARD PRIMARY CARE LLC is an infectious disease internal medicine in Melbourne, FL. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. BREVARD PRIMARY CARE LLC NPI is 1376958462. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2328 CITADEL WAY STE 103-319
MELBOURNE, FL
ZIP 32940-459
Phone: (321) 757-1900
Fax: (866) 376-2481

The provider's authorized official is Bhavani M Puskur .
The authorized official title is Practice Owner and has the following contact phone number (321) 948-8555.

The enumeration date for this NPI number is 6/26/2014 and was last updated on 11/15/2024.

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
1207R00000XInternal MedicineNo
2207RI0200XInternal MedicineInfectious DiseaseYes

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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