BREVARD PHYSICIAN ASSOCIATES, PLLC (NPI# 1598008955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598008955 |
Entity Type | Organization |
Organization Name | BREVARD PHYSICIAN ASSOCIATES, PLLC |
Practice Address |
520 E Strawbridge Ave Melbourne FL 32901-4732 |
Practice Telephone | 3212559671 |
Enumeration Date | 2013-04-03 |
Last Update Date | 2020-03-12 |
Authorized Official Name | MARTY BROWN (MEMBER) |
Authorized Official Telephone | 3212559671 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085N0700X |
Radiology Specialization: Neuroradiology |
Allopathic & Osteopathic Physicians | ||
N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
Allopathic & Osteopathic Physicians | ||
N | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
Allopathic & Osteopathic Physicians | ||
N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 367H00000X | Anesthesiologist Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
N | 207PE0005X |
Emergency Medicine Specialization: Undersea and Hyperbaric Medicine |
Allopathic & Osteopathic Physicians | ||
N | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
N | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
Allopathic & Osteopathic Physicians | ||
Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 104036300 | 05 | |
FL | FL MEDICARE | LQ014 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
1223 Gateway Dr, Melbourne, FL 329012607 | 3215490677 | 3217222432 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | BREVARD PHYSICIAN ASSOCIATES, PLLC | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 |
Street Address |
520 E STRAWBRIDGE AVE |
City | MELBOURNE |
State | FL |
Zip Code | 32901-4732 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801208343 | James Ditscheit | Nurse Anesthetist, Certified Registered | 520 E Strawbridge Ave, Melbourne, FL 32901-4732 | 2014-06-02 |
1891107488 | Jason Miranda | Nurse Anesthetist, Certified Registered | 520 E Strawbridge Ave, Melbourne, FL 32901-4732 | 2014-05-30 |
1174934715 | Berilin Rogers | Nurse Anesthetist, Certified Registered | 520 E Strawbridge Ave, Melbourne, FL 32901-4732 | 2014-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
1124676820 | Abbi Dell Lee | Behavioral Analyst | 3251 Engineering St, Melbourne, FL 32901 | 2019-08-27 |
1750856878 | Jeffrey Michael Cavanagh | Behavior Technician | 3251 Engineering Street, Melbourne, FL 32901 | 2018-10-04 |
1740766021 | Amanda Miller | Behavior Technician | 1885 W Hibiscus Blvd, Melbourne, FL 32901 | 2018-07-19 |
1396244406 | Dragen II LLC | Urology | 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 | 2018-02-03 |
1225550692 | Cabrit Psychotherapy Services LLC | Marriage & Family Therapist | 100 Rialto Place, Suite 700, Melbourne, FL 32901 | 2017-07-07 |
1487188058 | Project Response, Inc. | Clinic/Center | 747 S. Apollo Boulevard, Melbourne, FL 32901 | 2017-04-20 |
1184174575 | Paulette Swanson | Physical Therapist | 611 East Sheridan Rd, Melbourne, FL 32901 | 2016-10-10 |
1841747839 | Nicholas Wilson | Social Worker | 3661 S. Babcock St., Melbourne, FL 32901 | 2016-09-07 |
1467804278 | Nickolas Hetherington | Occupational Therapist | 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 | 2016-07-05 |
Find all providers in zip 32901 |
Taxonomy Code | 207L00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194198093 | Roscoe Rossi | Anesthesiology | 1211 E New Haven Ave, #804, Melbourne, FL 32901-7390 | 2015-11-02 |
1427474188 | Sajith Panduke Abeyawickrama | Anesthesiology | 7955 Spyglass Hill Rd, Melbourne, FL 32940-8249 | 2014-03-05 |
1114210739 | William E Duvall | Anesthesiology | 3489 Fender Rd, Melbourne, KY 41059-9455 | 2011-05-17 |
1457434763 | Anesthesia & Pain Pa | Anesthesiology | 2222 S Harbor City Blvd Ste 520, Melbourne, FL 32901-5591 | 2006-10-23 |
1720191786 | Ronald J. Stern | Anesthesiology | 1696-b West Hibiscus Boulevard, Melbourne, FL 32901-2638 | 2006-08-16 |
1558351692 | Alberto M Cabantog | Anesthesiology | 308 S Harbor City Blvd, Suite A, Melbourne, FL 32901-1500 | 2005-10-27 |
1275521957 | Juan Eugenio Santiago | Anesthesiology | 7955 Spyglass Hill Rd Ste A, Melbourne, FL 32940-8249 | 2005-10-07 |
1912510124 | Shannia Fullerton | Anesthesiology | 1775 W Hibiscus Blvd Ste 215, Melbourne, FL 32901-2627 | 2020-08-26 |
1164939971 | Beachside Anesthesia Inc | Anesthesiology | 95 Bulldog Blvd, Melbourne, FL 32901-3332 | 2018-01-02 |
1164897575 | Anesthesiology Consultants of Melbourne, Pa | Anesthesiology | 2222 S Harbor City Blvd, #610, Melbourne, FL 32901-5594 | 2015-12-10 |
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.