BREVARD SURGERY CENTER NPI 1770528838

NPI Information

  • NPI: 1770528838
  • Provider Name: BREVARD SURGERY CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • CLIA Number: 10D0911030
  • Address: 665 S APOLLO BLVD
    MELBOURNE, FL
    ZIP 32901
  • Phone: (321) 984-3200

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NPI Details

BREVARD SURGERY CENTER is an ambulatory surgical clinic center in Melbourne, FL. BREVARD SURGERY CENTER NPI is 1770528838. The provider is registered as an organization entity type.

The provider's business location address is:

665 S APOLLO BLVD
MELBOURNE, FL
ZIP 32901-485
Phone: (321) 984-3200
Fax: (321) 984-2620

The provider's authorized official is Robyn A Mcdaniel .
The authorized official title is Director Of Finance and has the following contact phone number (321) 821-7446.

The CLIA number assigned to this NPI record is 10D0911030 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml (HCPCS:J1097)
  • Removal of recurring cataract in lens capsule using a laser (HCPCS:66821)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)

The enumeration date for this NPI number is 6/20/2006 and was last updated on 7/5/2022.

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
1261QA1903XClinic/CenterAmbulatory SurgicalPH13979FLORIDAYes

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
164EOTHERFLORIDABCBS
2490002578OTHERFLORIDAMEDICARE ID TYPE UNSPECIFIED
3079180600MEDICAIDFLORIDA

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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