MEDICAL ASSOCIATES OF BREVARD LLC


Address: 6550 N Wickham Rd, #2, Melbourne, FL 32940-2038
Phone: 3212551947

MEDICAL ASSOCIATES OF BREVARD LLC (NPI# 1083622245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083622245
Entity Type Organization
Organization Name MEDICAL ASSOCIATES OF BREVARD LLC
Other Organization Name MEDICAL ASSOCIATES OF BREVARD, P.A.
Practice Address 6550 N Wickham Rd
#2
Melbourne
FL 32940-2038
Practice Telephone 3212551947
Practice Fax Number 3212555343
Mailing Telephone 3212551947
Mailing Fax Number 3212555343
Enumeration Date 2006-08-04
Last Update Date 2007-09-26
Authorized Official Name GERARD L. BESSETTE (ADMINISTRATOR)
Authorized Official Telephone 3217289657
Is Organization Subpart Y
Parent Organization Name MEDICAL ASSOCIATES OF BREVARD LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Medical Associates of Brevard, P.A. Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1770821688 Medical Associates of Brevard LLC Clinic/Center 6080 S. Babcock St. Se, Palm Bay, FL 32909-3921 2013-01-28
1639189251 Medical Associates of Brevard LLC Clinic/Center 901 Jordan Blass Dr, Suite 103, Melbourne, FL 32940-1824 2006-08-08
1679582605 Medical Associates of Brevard LLC Clinic/Center 580 N Wickham Rd, Suite A, Melbourne, FL 32935-8400 2006-08-07
1992128508 Medical Associates of Brevard LLC Clinic/Center 2290 W Eau Gallie Blvd, Suite 110, Melbourne, FL 32935-3133 2014-02-03
1538582366 Medical Associates of Brevard LLC Clinic/Center 575 S Wickham Rd, Suite A, West Melbourne, FL 32904-1170 2014-01-30
1639592561 Medical Associates of Brevard LLC Clinic/Center 575 S Wickham Rd, Suite A, Melbourne, FL 32904-1170 2014-01-29
1942570098 Medical Associates of Brevard LLC Internal Medicine 8045 Spyglass Hill Road, Suite 102, Melbourne, FL 32940-8567 2012-01-06
1053689810 Medical Associates of Brevard LLC Internal Medicine 1301 W Eau Gallie Blvd Ste 108, Melbourne, FL 32935-5390 2011-12-08
1538476726 Medical Associates of Brevard LLC Obstetrics & Gynecology 304 S Harbor City Blvd, Suite 101, Melbourne, FL 32901-1382 2010-09-09
1689987596 Medical Associates of Brevard LLC Internal Medicine 397 N Wickham Rd, Suite 101, Melbourne, FL 32935-8669 2010-07-20

Office Location

Street Address 6550 N WICKHAM RD
#2
City MELBOURNE
State FL
Zip Code 32940-2038

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104804954 Guy Yves Pelchat Chiropractor 6550 N Wickham Rd, Suite 6, Melbourne, FL 32940-2038 2006-01-03
1427591809 Demytra Wolf Physician Assistant 6550 N Wickham Rd, Suite 2, Melbourne, FL 32940-2038 2016-12-02
1083981260 Dallas Lamar Evans Nurse Practitioner 6550 N Wickham Rd, Suite 2, Melbourne, FL 32940-2038 2011-11-16
1265613558 Michelle Renee Wheat Massage Therapist 6550 N Wickham Rd, Suite 2, Melbourne, FL 32940-2038 2007-11-15
1801003058 Cynthia Lee Titus Nurse Practitioner 6550 N Wickham Rd, Suite 2, Melbourne, FL 32940-2038 2007-05-17
1770531774 John David Mackenney Podiatrist 6550 N Wickham Rd, Suite 4, Melbourne, FL 32940-2038 2006-05-04
1548249535 Shakti Datt Bakshi Internal Medicine 6550 N Wickham Rd, Suite 2, Melbourne, FL 32940-2038 2006-01-10

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NPI Name Taxonomy Address Enumeration
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1295360592 Hiteshi Patel Pharmacist 3134 Hummingbird Way, Melbourne, FL 32940 2020-03-06
1972133122 Curtis Lynn Curbo Social Worker 3830 Fringetree Lane, Melbourne, FL 32940 2020-01-16
1861038283 Medfast Urgent Care Centers, LLC Clinic/Center 5500 Stadium Parkway, Melbourne, FL 32940 2019-11-20
1134601594 Caroline Grace Bennett Behavior Technician 5500 Murrell Rd Suite 100, Melbourne, FL 32940 2018-09-02
1730682642 Centennial Medical Group Family Medicine 1341 Bedford Drive, Melbourne, FL 32940 2018-03-16
1356849251 Executive Non-emergency Transportation, Inc. Non-emergency Medical Transport (VAN) 3155-02 Suntree Blvd, Melbourne, FL 32940 2018-01-25
1679081160 Brevard Oaks Center, LLC Skilled Nursing Facility 2355 Vidina Drive, Viera, FL 32940 2018-01-18
1275045817 Comfortable Care Dental Health Professionals. P.a. Dentist 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 2017-11-03
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821696766 Advanced Healthcare Integration, LLC Clinic/Center 445 Pineda Ct Ste 200, Melbourne, FL 32940-7555 2020-10-13
1942792429 Ethos Health Melbourne, LLC Clinic/Center 2755 N Wickham Rd Ste 102, Melbourne, FL 32935-2226 2018-05-31
1639189251 Medical Associates of Brevard LLC Clinic/Center 901 Jordan Blass Dr, Suite 103, Melbourne, FL 32940-1824 2006-08-08
1679582605 Medical Associates of Brevard LLC Clinic/Center 580 N Wickham Rd, Suite A, Melbourne, FL 32935-8400 2006-08-07
1649896804 Tricoche Integrated Health Inc Clinic/Center 1855 W Hibiscus Blvd, Melbourne, FL 32901-2622 2020-06-23
1487270831 Space Health LLC Clinic/Center 3800 W Eau Gallie Blvd Ste 101, Melbourne, FL 32934-3285 2020-06-22
1659841914 Biocellular Therapies Inc Clinic/Center 2290 W Eau Gallie Blvd Ste 210b, Melbourne, FL 32935-3145 2018-11-29
1992128508 Medical Associates of Brevard LLC Clinic/Center 2290 W Eau Gallie Blvd, Suite 110, Melbourne, FL 32935-3133 2014-02-03
1639592561 Medical Associates of Brevard LLC Clinic/Center 575 S Wickham Rd, Suite A, Melbourne, FL 32904-1170 2014-01-29
1619104114 Medical Associates of Brevard LLC Clinic/Center 2290 W Eau Gallie Blvd, Suite 202, Melbourne, FL 32935-3145 2009-06-11
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Competitor

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City MELBOURNE
Zip Code 32940

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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