BSA LLC NPI 1851344063

NPI Information

  • NPI: 1851344063
  • Provider Name: BSA LLC
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Doing Business As: BREVARD SURGICAL ASSOCIATES TEPAS HEALTHCARE
  • Address: 1140 BROADBAND DR
    MELBOURNE, FL
    ZIP 32901
  • Phone: (321) 733-1901

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NPI Details

BSA LLC is a surgery in Melbourne, FL. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. BSA LLC NPI is 1851344063. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Brevard Surgical Associates Tepas Healthcare.

The provider's business location address is:

1140 BROADBAND DR
MELBOURNE, FL
ZIP 32901-623
Phone: (321) 733-1901
Fax: (321) 733-0211

The provider's authorized official is Emran Riaz Imami .
The authorized official title is Owner Physician and has the following contact phone number (321) 733-1901.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 4/11/2012.

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
1208600000XSurgeryME56101FLORIDAYes

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
1370625700MEDICAIDFLORIDA
2K7072MEDICARE UPINFLORIDA
315274OTHERFLORIDABLUE CROSS
4K7072MEDICARE ID-TYPE UNSPECIFIEDFLORIDA

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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