BREVARD HEALTH ALLIANCE INC NPI 1962119370

NPI Information

NPI: 1962119370
Provider Name: BREVARD HEALTH ALLIANCE INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
601 E UNIVERSITY BLVD
MELBOURNE, FL
ZIP 32901
Phone: (321) 241-6800
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BREVARD HEALTH ALLIANCE INC 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 INC NPI is 1962119370. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

601 E UNIVERSITY BLVD
MELBOURNE, FL
ZIP 32901-121
Phone: (321) 241-6800
Fax: (321) 241-6888

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 11/4/2022 and was last updated on 11/4/2022.

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
1	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	6886931-33	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

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