DRS ROBERTS & BRYAN PA (NPI# 1346226404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346226404 |
| Entity Type | Organization |
| Organization Name | DRS ROBERTS & BRYAN PA |
| Other Organization Name | BREVARD SKIN & CANCER CENTERS |
| Practice Address |
1286 Florida Ave S Rockledge FL 32955-2484 |
| Practice Telephone | 3216367780 |
| Practice Fax Number | 3216361152 |
| Mailing Telephone | 3216367780 |
| Mailing Fax Number | 3216361152 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2014-07-16 |
| Authorized Official Name | MR. RICHARD C KIRKPATRICK (PRESIDENT) |
| Authorized Official Telephone | 3216367780 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RR MEDICARE | C11086 | 01 |
| FL | 063028400 | 05 |
| Other Name | Type Code |
|---|---|
| Brevard Skin & Cancer Centers | Doing Business As Name - Organization |
| Street Address |
1286 FLORIDA AVE S |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955-2484 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821074980 | Richard Christopher Kirkpatrick | Dermatology | 1286 Florida Ave S, Rockledge, FL 32955-2484 | 2005-12-21 |
| 1225412901 | Brookelynn K Kendrick | Nurse Practitioner | 1286 Florida Ave S, Rockledge, FL 32955-2484 | 2015-07-13 |
| 1770816308 | Cindy Capestany Bassford | Physician Assistant | 1286 Florida Ave S, Rockledge, FL 32955-2484 | 2009-09-15 |
| 1568604668 | Andrew Glen Miner | Dermatology | 1286 Florida Ave S, Rockledge, FL 32955-2484 | 2009-04-03 |
| 1952579369 | Elizabeth Anne Meredith | Physician Assistant | 1286 Florida Ave S, Rockledge, FL 32955-2484 | 2008-02-19 |
| 1427269976 | Makesha Holbrook Curd | Physician Assistant | 1286 Florida Ave S, Rockledge, FL 32955-2484 | 2007-05-25 |
| 1447391271 | Fonda K. Schreiber | Dermatology | 1286 Florida Ave S, Rockledge, FL 32955-2484 | 2007-02-12 |
| 1629167630 | Gary Stuart Rubin | Physician Assistant | 1286 Florida Ave S, Rockledge, FL 32955-2484 | 2006-10-11 |
| 1619082237 | Susan Hammerling-hodgers | Physician Assistant | 1286 Florida Ave S, Rockledge, FL 32955-2484 | 2006-08-21 |
| 1639158652 | Cheryl Elizabeth Young | Physician Assistant | 1286 Florida Ave S, Rockledge, FL 32955-2484 | 2006-01-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169571 | Health First Medical Group LLC | Orthopaedic Surgery | 6525 3rd Street, #302, Rockledge, FL 32955 | 2020-09-23 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1588285100 | Enrique Technologies & Trading, LLC | Meals | 1841 Long Iron Dr. Ste. 805, Rockledge, FL 32955 | 2020-05-05 |
| 1578101549 | Ericka Marshall | Counselor | 7095 Turner Road, Rockledge, FL 32955 | 2019-12-20 |
| 1174168322 | Brevard Pharmacy L.L.C. | Pharmacy | 401. Barton Blvd., Rockledge, FL 32955 | 2019-11-12 |
| 1770131443 | Fyzical Therapy & Balance Center Rockledge-viera | Clinic/Center | 634 Barnes Boulevard, Unit 202, Rockledge, FL 32955 | 2019-08-27 |
| 1699261461 | Brookview Manor Assisted Living Facility LLC | Assisted Living Facility | 882 Brookview Ln, Rockledge, FL 32955 | 2018-07-05 |
| 1750888970 | Kaitlin Donovan | Dentist | 5380 Stadium Pkwy Ste 119, Rockledge, FL 32955 | 2018-04-13 |
| 1376041327 | Serina Eder | Acupuncturist | 5595 Schenck Ave Ste 7, Rockledge, FL 32955 | 2018-01-24 |
| 1427563394 | Suntree Orthopedics, LLC | Orthopaedic Surgery | 6525 3rd St Ste 302-303, Rockledge, FL 32955 | 2017-12-13 |
| Find all providers in zip 32955 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578701785 | Cynthia H Halcin Md Pa | Dermatology | 830 Executive Lane, Suite 110, Rockledge, FL 32955-3595 | 2009-01-26 |
| 1033195896 | Mario Jose Sequeira | Dermatology | 1286 S Florida Ave, Rockledge, FL 32955 | 2005-12-22 |
| 1821074980 | Richard Christopher Kirkpatrick | Dermatology | 1286 Florida Ave S, Rockledge, FL 32955-2484 | 2005-12-21 |
| 1568604668 | Andrew Glen Miner | Dermatology | 1286 Florida Ave S, Rockledge, FL 32955-2484 | 2009-04-03 |
| 1447391271 | Fonda K. Schreiber | Dermatology | 1286 Florida Ave S, Rockledge, FL 32955-2484 | 2007-02-12 |
| 1942270988 | Cynthia H Halcin | Dermatology | 830 Executive Ln, Suite 110, Rockledge, FL 32955-3595 | 2006-01-24 |
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|---|---|---|---|---|
| 1962002154 | Precision Skin LLC | Dermatology | 3501 S University Dr Ste 5, Davie, FL 33328-2001 | 2020-10-28 |
| 1487252417 | Janice Reaume | Dermatology | 3335 Imperial Manor Way, Mulberry, FL 33860-5519 | 2020-10-12 |
| 1922617729 | Synergymd, LLC | Dermatology | 1208 E Kennedy Blvd Ste 221, Tampa, FL 33602-3509 | 2020-07-28 |
| 1518585447 | Alexander F Wong | Dermatology | 1300 Goodlette-frank Rd N, Naples, FL 34102-5243 | 2020-07-07 |
| 1508495003 | Elite Dermatology | Dermatology | 401 Coral Way Ste 207, Coral Gables, FL 33134-4924 | 2020-04-06 |
| 1124668371 | Meaghan Margaret Birakis | Dermatology | 3319 Fl-7 #202, Wellington, FL 33449 | 2020-01-15 |
| 1396380044 | Suzanne Marie Smith | Dermatology | 21097 Ne 27th Ct Ste 500, Miami, FL 33180-1235 | 2019-11-15 |
| 1376188383 | Enchantress Dermatology, Inc. | Dermatology | 241 Nw 119 Ave, Miami, FL 33182-1329 | 2019-11-13 |
| 1699319988 | Revivify Dermatology, LLC | Dermatology | 21301 Powerline Rd # 108, Boca Raton, FL 33433-2388 | 2019-10-30 |
| 1841833928 | Carly Marie Maher | Dermatology | 90 Cypress Way E Ste 50, Naples, FL 34110-9275 | 2019-10-22 |
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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.