BRIANT G. MOYLES D.P.M., P.A. (NPI# 1194998286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194998286 |
| Entity Type | Organization |
| Organization Name | BRIANT G. MOYLES D.P.M., P.A. |
| Other Organization Name | MELBOURNE PODIATRY ASSOCIATES |
| Practice Address |
1310 W Eau Gallie Blvd Suite E Melbourne FL 32935-5300 |
| Mailing Address |
211 E New Haven Ave Melbourne FL 32901-4503 |
| Practice Telephone | 3212553338 |
| Practice Fax Number | 3212539643 |
| Mailing Telephone | 3217233500 |
| Mailing Fax Number | 3217231945 |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2010-10-18 |
| Authorized Official Name | DR. BRIANT G MOYLES (PRESIDENT) |
| Authorized Official Telephone | 3217235100 |
| Authorized Official Credential | D.P.M., P.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | ========= | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 72224 | 01 |
| FL | 041009800 | 05 |
| Other Name | Type Code |
|---|---|
| Melbourne Podiatry Associates | Doing Business As Name - Organization |
| Street Address |
1310 W EAU GALLIE BLVD SUITE E |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32935-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649273178 | David Andrew Helft | Pediatrics | 1310 W Eau Gallie Blvd, Suite C, Melbourne, FL 32935-5300 | 2005-05-30 |
| 1568869113 | Blackstone Hand Center, LLC | Orthopaedic Surgery | 1310 W Eau Gallie Blvd, Suite E, Melbourne, FL 32935-5300 | 2014-11-25 |
| 1730509811 | Pediatric Wiazards | Clinic/Center | 1310 W Eau Gallie Blvd, Suite C, Melbourne, FL 32935-5300 | 2014-04-16 |
| 1437318367 | Pediatric Wizards, Pa | Pediatrics | 1310 W Eau Gallie Blvd, Suite C, Melbourne, FL 32935-5300 | 2008-06-05 |
| 1700063708 | Christopher J Prusinski Do Pa | Psychiatry & Neurology | 1310 W Eau Gallie Blvd, Suite B, Melbourne, FL 32935-5300 | 2008-01-22 |
| 1679766133 | Kyle Joseph Moyles | Orthopaedic Surgery | 1310 W Eau Gallie Blvd, Suite E, Melbourne, FL 32935-5300 | 2007-08-19 |
| 1467556779 | Christopher J Prusinski | Psychiatry & Neurology | 1310 W Eau Gallie Blvd, Suite B, Melbourne, FL 32935-5300 | 2006-09-08 |
| 1952369357 | Shawn Timothy Egan | Chiropractor | 1310 W Eau Gallie Blvd, Suite A, Melbourne, FL 32935-5300 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
| 1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
| 1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
| 1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
| 1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
| 1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
| 1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
| 1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
| 1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
| 1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
| Find all providers in zip 32935 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114465515 | Foot and Ankle Associates of Brevard LLC | Podiatrist | 4020 Fair Point Ln, Melbourne, FL 32934-8436 | 2017-02-06 |
| 1609201227 | Patricia A Russo | Podiatrist | 2958 Ingram Ave, Melbourne, IA 50162-9559 | 2013-09-13 |
| 1710096862 | Daniel Albert Cohen | Podiatrist | 7730 N Wickham Rd, Suite 103, Melbourne, FL 32940 | 2006-08-30 |
| 1619986429 | Brian Stanley Wieszbicki | Podiatrist | 1375 Cypress Trace Dr, Melbourne, FL 32940-1623 | 2006-08-08 |
| 1437181666 | Stanley Ira Gabe | Podiatrist | 129 W Hibiscus Ave, Suite C, Melbourne, FL 32901 | 2006-07-07 |
| 1669455291 | Brian Joseph Mallette | Podiatrist | 200 S Harbor City Blvd, Suite 102, Melbourne, FL 32901-1384 | 2005-11-29 |
| 1174506877 | Briant G Moyles Dpm Pa | Podiatrist | 211 E New Haven Ave, Melbourne, FL 32901-4503 | 2005-11-28 |
| 1306273545 | Iowa Podiatry Care, Inc. | Podiatrist | 2958 Ingram Ave, Melbourne, IA 50162-9559 | 2013-10-02 |
| 1558701243 | Jessica Ann Ortega Wilson | Podiatrist | 1515 Airport Blvd, Melbourne, FL 32901 | 2013-06-27 |
| 1184064834 | Thomas Charles Wilson | Podiatrist | 1515 Airport Blvd, Melbourne, FL 32901 | 2013-06-26 |
| Find all providers in MELBOURNE | ||||
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| 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.