THE BREVARD HEALTH ALLIANCE INC NPI 1518017896

NPI Information

NPI: 1518017896
Provider Name: THE BREVARD HEALTH ALLIANCE INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
220 BARTON BLVD
UNIT C14
ROCKLEDGE, FL
ZIP 32955
Phone: (321) 639-5177
Get Directions

THE BREVARD HEALTH ALLIANCE INC is a general practice in Rockledge, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee THE BREVARD HEALTH ALLIANCE INC NPI is 1518017896. The provider is registered as an organization entity type.

The provider's business location address is:

220 BARTON BLVD
UNIT C14
ROCKLEDGE, FL
ZIP 32955-742
Phone: (321) 639-5177
Fax: (321) 639-4927

The provider's authorized official is Angela Craig .
The authorized official title is Business Office Manager and has the following contact phone number (321) 241-6834.

The enumeration date for this NPI number is 1/11/2007 and was last updated on 10/9/2023.

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
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			No
2	208D00000X	General Practice				Yes

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
1	6886931-07	MEDICAID	FLORIDA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »