BREVARD HEALTH ALLIANCE NPI 1558088070

NPI Information

  • NPI: 1558088070
  • Provider Name: BREVARD HEALTH ALLIANCE
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 2550 GRANT ST STE 137
    MELBOURNE, FL
    ZIP 32901
  • Phone: (321) 334-6940

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NPI Details

BREVARD HEALTH ALLIANCE is a general practice in Melbourne, 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 BREVARD HEALTH ALLIANCE NPI is 1558088070. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2550 GRANT ST STE 137
MELBOURNE, FL
ZIP 32901-006
Phone: (321) 334-6940
Fax: (321) 334-6912

The provider's authorized official is Angela Craig .
The authorized official title is Director Of Billing and has the following contact phone number (321) 698-3446.

The enumeration date for this NPI number is 10/25/2022 and was last updated on 10/25/2022.

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
1208D00000XGeneral PracticeYes

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
1688693129MEDICAIDFLORIDA

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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