BREVARD PULMONARY SPECIALISTS PA (NPI# 1649378498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649378498 |
| Entity Type | Organization |
| Organization Name | BREVARD PULMONARY SPECIALISTS PA |
| Practice Address |
103 Longwood Ave Rockledge FL 32955-2827 |
| Practice Telephone | 3216315677 |
| Practice Fax Number | 3216900071 |
| Mailing Telephone | 3216315677 |
| Mailing Fax Number | 3216900071 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CAROL SHEPARD (OFFICE MANAGER) |
| Authorized Official Telephone | 3216315677 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| X | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| X | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | UNITED MINE WORKERS | 1373308 | 01 |
| Street Address |
103 LONGWOOD AVE |
| City | ROCKLEDGE |
| State | FL |
| Zip Code | 32955-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467419101 | Teri C Beeler | Nurse Practitioner | 103 Longwood Ave, Rockledge, FL 32955-2827 | 2006-04-27 |
| 1083888135 | Deepika Aneja | Internal Medicine | 103 Longwood Ave, Rockledge, FL 32955-2827 | 2008-04-19 |
| 1821026345 | Steven Daniel Podnos | Internal Medicine | 103 Longwood Ave, Rockledge, FL 32955-2827 | 2006-06-30 |
| 1376571893 | John Michael Brodnan | Internal Medicine | 103 Longwood Ave, Rockledge, FL 32955-2827 | 2006-06-30 |
| 1447288964 | Jaime Victor Furman | Internal Medicine | 103 Longwood Ave, Rockledge, FL 32955-2827 | 2006-06-30 |
| 1720023815 | Mitchell Keith Mccullar | Internal Medicine | 103 Longwood Ave, Rockledge, FL 32955-2827 | 2006-06-20 |
| 1134171929 | Lee P Kirkpatrick | Internal Medicine | 103 Longwood Ave, Rockledge, FL 32955 | 2006-05-17 |
| 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 | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720023815 | Mitchell Keith Mccullar | Internal Medicine | 103 Longwood Ave, Rockledge, FL 32955-2827 | 2006-06-20 |
| 1134171929 | Lee P Kirkpatrick | Internal Medicine | 103 Longwood Ave, Rockledge, FL 32955 | 2006-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507431 | Tricounty Physicians, LLC | Internal Medicine | 1507 Buenos Aires Blvd Ste 102, The Villages, FL 32159-8974 | 2020-01-21 |
| 1104464262 | Naples Pulmonary LLC | Internal Medicine | 3021 Airport Pulling Rd N Ste 103, Naples, FL 34105-3077 | 2019-12-19 |
| 1245892611 | Blueapplecare, LLC. | Internal Medicine | 2625 Executive Park Dr Ste 101, Weston, FL 33331-3634 | 2019-07-05 |
| 1598321051 | South Broward Hospital District | Internal Medicine | 7369 Sheridan St Ste 302, Hollywood, FL 33024-2776 | 2019-05-10 |
| 1255800629 | Shiffa Medical Solutions LLC | Internal Medicine | 12144 Montalcino Circle, Windermere, FL 34780 | 2018-11-15 |
| 1538638853 | Arif Shakoor II LLC | Internal Medicine | 2257 Us Highway 441 N Ste C, Okeechobee, FL 34972-1943 | 2018-11-15 |
| 1396226304 | Adayiba Zamora | Internal Medicine | 10794 Pines Blvd Ste 205, Pembroke Pines, FL 33026-3920 | 2018-08-27 |
| 1366929465 | Ernesto E. Fonts, M.d, P.a. | Internal Medicine | 777 E 25th St Ste 512, Hialeah, FL 33013-3834 | 2018-07-23 |
| 1528552494 | Joseph C Daley IIi Md Fccp LLC | Internal Medicine | 1031 Se 9th Pl Unit 2, Cape Coral, FL 33990-3003 | 2018-06-14 |
| 1992200158 | James Lucio Md, Pa | Internal Medicine | 12627 Butler Bay Ct, Windermere, FL 34786-6102 | 2018-03-28 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BREVARD PULMONARY SPECIALISTS PA.
| 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.