BREVARD PROSTHETICS & ORTHOTICS, INC. (NPI# 1992840904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992840904 |
| Entity Type | Organization |
| Organization Name | BREVARD PROSTHETICS & ORTHOTICS, INC. |
| Other Organization Name | BREVARD PROSTHETICS INC. |
| Practice Address |
2223 S Washington Ave Ste A Titusville FL 32780-4703 |
| Practice Telephone | 3212258001 |
| Practice Fax Number | 3212254046 |
| Mailing Telephone | 3212258001 |
| Mailing Fax Number | 3212254046 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-06-24 |
| Authorized Official Name | MR. ELDON LEROY SWOPES JR. (PRESIDENT) |
| Authorized Official Telephone | 3212258001 |
| Is Organization Subpart | Y |
| Parent Organization Name | BREVARD PROSTHETICS & ORTHOTICS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 009959000 | 05 |
| Other Name | Type Code |
|---|---|
| Brevard Prosthetics Inc. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467597450 | Brevard Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 1405 Valentine St, Melbourne, FL 32901-3129 | 2007-02-20 |
| 1073983367 | Brevard Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 21216 Olean Blvd, Suite 1, Port Charlotte, FL 33952-6722 | 2015-09-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BREVARD PROSTHETICS & ORTHOTICS, INC. | 2223 S Washington Ave Ste A, Titusville, FL 32780-4703 |
| Street Address |
2223 S WASHINGTON AVE STE A |
| City | TITUSVILLE |
| State | FL |
| Zip Code | 32780-4703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400207 | Elizabeth Hardin | Chiropractor | Florida Sports and Spinal Rehab, 3910 S. Washington Ave., Titusville, FL 32780 | 2020-06-01 |
| 1477033934 | Eye Doctors Optical Outlets, Pa | Optometrist | 2510 S Washington, Suite 140, Titusville, FL 32780 | 2018-08-15 |
| 1427566819 | Marlene Joyce Rosenzweig | Home Health | 1415 Thornton Avenue, Titusville, FL 32780 | 2018-01-19 |
| 1962913681 | Medfast Urgent Care Center, LLC | Clinic/Center | 1840 South Washington Ave, Titusville, FL 32780 | 2017-10-20 |
| 1982122586 | Annie Durand | Physical Therapist | 4352 Derbyshire Drive, Titusville, FL 32780 | 2017-09-03 |
| 1205352341 | Hearing Healthcare Solutions, Inc. | Hearing Instrument Specialist | 2625 Barna Ave, Suite J, Titusville, FL 32780 | 2017-08-21 |
| 1134663669 | Laura Starks | Behavior Technician | 1000 Tree Lane Apt H, Titusville, FL 32780 | 2016-12-19 |
| 1235500471 | Comfortable Care Dental Health Professionals, Pa | Dentist | 3135 Columbia Blvd, Suite 100, Titusville, FL 32780 | 2015-10-14 |
| 1174994412 | Amanda Howell | Counselor | 5280 Watermill Lane Apt 305, Titusville, FL 32780 | 2015-10-13 |
| 1609267939 | Bykota Acupuncture | Acupuncturist | 1007 South Washington Ave, Titusville, FL 32780 | 2015-02-09 |
| Find all providers in zip 32780 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881681351 | Carter Orthopedics Ltd | Prosthetic/Orthotic Supplier | 823 W Spring St, Titusville, PA 16354-1534 | 2005-09-30 |
| 1699202853 | Union Orthotics & Prosthetics Co. | Prosthetic/Orthotic Supplier | 823 W Spring St, Titusville, PA 16354-1534 | 2017-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073120192 | Solaris Ortho, LLC | Prosthetic/Orthotic Supplier | 1112 W Shell Point Rd Ste 304, Ruskin, FL 33570-3400 | 2020-09-24 |
| 1467068635 | Laquavian Eliacin | Prosthetic/Orthotic Supplier | 1738 Se Port St Lucie Blvd, Port St Lucie, FL 34952-5467 | 2020-09-22 |
| 1831705805 | Fourroux Prosthetics, Inc | Prosthetic/Orthotic Supplier | 5453 N 59th St, Tampa, FL 33610-2011 | 2020-09-16 |
| 1790397875 | Gessy Rigaud | Prosthetic/Orthotic Supplier | 5100 Sw 41st St Apt 115, Hollywood, FL 33023-6988 | 2020-08-19 |
| 1609486737 | Beauty Vault Lux LLC. | Prosthetic/Orthotic Supplier | 5100 Sw 41st St, Hollywood, FL 33023-6948 | 2020-08-04 |
| 1003424680 | Spartan Capital Investments | Prosthetic/Orthotic Supplier | 1621 E Edgewood Dr Ste B, Lakeland, FL 33803-3365 | 2020-07-20 |
| 1518583012 | Ts&a Medical Supply LLC | Prosthetic/Orthotic Supplier | 13555 Automobile Blvd Ste 650, Clearwater, FL 33762-3854 | 2020-06-19 |
| 1962027128 | Qbc Durable Medical Equipment | Prosthetic/Orthotic Supplier | 931 Village Blvd # 256, West Palm Beach, FL 33409-1803 | 2020-06-13 |
| 1083239891 | K.n. Medical Wigs Inc | Prosthetic/Orthotic Supplier | 651 E Main St Ste I, Haines City, FL 33844-4240 | 2020-06-08 |
| 1730703851 | Mahnke's Orthotics & Prosthetics of Deerfield Inc | Prosthetic/Orthotic Supplier | 4208 N 31st Ave Ste 2, Hollywood, FL 33021-2002 | 2020-06-04 |
| Find all providers with the same taxonomy | ||||
| City | TITUSVILLE |
| Zip Code | 32780 |
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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.