MR. BRIAN ROBERT HACKETT


Address: 1350 Hickory St, Suite101, Melbourne, FL 32901
Phone: 3214341401

MR. BRIAN ROBERT HACKETT (NPI# 1184904179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184904179
Entity Type Individual
Full Name MR. BRIAN ROBERT HACKETT
Credential PA-C
Practice Address 1350 Hickory St
Suite101
Melbourne
FL 32901
Mailing Address 3300 S Fiske Blvd
Rockledge
FL 32955-4306
Practice Telephone 3214341401
Practice Fax Number 3214345862
Mailing Telephone 3214341401
Mailing Fax Number 3219517408
Enumeration Date 2011-08-22
Last Update Date 2019-04-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA9106102 FL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL MEDICARE F1801U 01
FL 008056700 05
FL MEDICARE F1801T 01

Other Providers BRIAN HACKETT

NPI Name Taxonomy Address Enumeration
1720233034 Brian Keith Hackett Durable Medical Equipment & Medical Supplies 3425 Ashurst Dr, Valdosta, GA 31605-5205 2008-12-01
1871079285 Brian Hackett Pharmacist 47 Haskell Rd, Bangor, ME 04401-4229 2018-07-18
1649297102 Brian P Hackett Pediatrics 2200 Children's Way, Nashville, TN 37232 2006-07-17

Office Location

Street Address 1350 HICKORY ST
SUITE101
City MELBOURNE
State FL
Zip Code 32901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437159670 Igor Balatsky Internal Medicine 1350 Hickory St, Hrmc/hospitalist Program, Melbourne, FL 32901-3224 2005-07-29
1346855301 Anushree Patel Anesthesiologist Assistant 1350 Hickory St, Melbourne, FL 32901-3224 2020-09-15
1316565492 Megan Bellinger Dietitian, Registered 1350 Hickory St, Melbourne, FL 32901-3224 2020-07-06
1427673011 Jessica Joy Milnor Nurse Anesthetist, Certified Registered 1350 Hickory St, Melbourne, FL 32901-3278 2020-06-10
1487274205 Eric Cuthbert Registered Nurse 1350 Hickory St, Melbourne, FL 32901-3224 2020-04-22
1366061970 Lisa Kistler Pharmacist 1350 Hickory St, Melbourne, FL 32901-3278 2020-04-14
1194344168 Tracy Eichelberger Respiratory Therapist, Registered 1350 Hickory St, Melbourne, FL 32901-3278 2020-04-10
1477198752 Matthew Robert Ferraro Pharmacist 1350 Hickory St, Melbourne, FL 32901-3224 2019-11-11
1356983092 Parvin Deidri Daneshvar Registered Nurse 1350 Hickory St, Melbourne, FL 32901-3224 2019-10-15
1972155489 David Nester Lucas Family Medicine 1350 Hickory St, Melbourne, FL 32901-3224 2019-07-15
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760888283 Michael Dancy Physician Assistant 749 Mcdermott Ave, Melbourne, FL 32935-3038 2014-11-11
1164833240 Stephen Schmoll Physician Assistant 205 E Nasa Blvd Fl 1, Melbourne, FL 32901-1950 2014-05-12
1174945521 Dale P Greyslak Pa Pllc Physician Assistant 700 Jordan Blass Dr, Melbourne, FL 32940-1817 2014-01-19
1114163144 Melissa L Hoppe Physician Assistant 3021 W Eau Gallie Blvd Ste 103, Suite 440, Melbourne, FL 32934-7005 2008-12-22
1144376088 Carrie M Chapman Physician Assistant 1223 Gateway Dr Ste 2a, Melbourne, FL 32901-2607 2007-01-25
1972673184 Physician Assistant Services of Florida LLC Physician Assistant 301 E Hibiscus Blvd, Melbourne, FL 32901-3105 2006-11-08
1013097567 Miami First Assist, LLC Physician Assistant 1600 Sarno Road, Suite 15, Melbourne, FL 32935 2006-10-17
1336151067 Bradley A Kramer Physician Assistant 8725 N Wickham Rd Ste 301, Melbourne, FL 32940-2240 2006-08-12
1649206517 Eduardo Batista Physician Assistant 1600 Sarno Rd Ste 15, Melbourne, FL 32935-4990 2006-06-23
1548745037 Kristin M. Kampenga Physician Assistant 1251 Hickory St, Melbourne, FL 32901-3221 2018-10-01
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Competitor

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City MELBOURNE
Zip Code 32901

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Dataset Information

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.

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