CENTRAL BREVARD RADIOLOGY PA NPI 1932217759

NPI Information

NPI: 1932217759
Provider Name: CENTRAL BREVARD RADIOLOGY PA
Classification: Radiology - 2085R0202X
Specialization: Diagnostic Radiology
Entity Type: Organization
Address: 701 W COCOA BEACH CSWY
COCOA BEACH, FL
ZIP 32931
Phone: (321) 799-7192

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NPI Details

CENTRAL BREVARD RADIOLOGY PA is a diagnostic radiology radiology in Cocoa Beach, FL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. CENTRAL BREVARD RADIOLOGY PA NPI is 1932217759. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

701 W COCOA BEACH CSWY
COCOA BEACH, FL
ZIP 32931-585
Phone: (321) 799-7192
Fax: (770) 237-4866

The provider's authorized official is David J Hilleren .
The authorized official title is President and has the following contact phone number (321) 799-7192.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 2/9/2012.

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	Primary
1	2085B0100X	Radiology	Body Imaging	No
2	2085N0904X	Radiology	Nuclear Radiology	No
3	2085P0229X	Radiology	Pediatric Radiology	No
4	2085R0204X	Radiology	Vascular & Interventional Radiology	No
5	2085U0001X	Radiology	Diagnostic Ultrasound	No
6	2085R0202X	Radiology	Diagnostic Radiology	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	39812	OTHER	FLORIDA	BLUE CROSS BLUE SHIELD
2	058771100	MEDICAID	FLORIDA
3	CA4481	OTHER	FLORIDA	RR MEDICARE
4	39812	MEDICARE ID-TYPE UNSPECIFIED	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: 11/21/2025

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