BREVARD HEALTH GROUP LLC (NPI# 1346723244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346723244 |
Entity Type | Organization |
Organization Name | BREVARD HEALTH GROUP LLC |
Other Organization Name | BREVARD SPINE AND REHAB INSTITUTE |
Practice Address |
1301 W Eau Gallie Blvd Ste 112 Melbourne FL 32935 |
Mailing Address |
30 Mountain Ter Asheville NC 28806-1924 |
Practice Telephone | 3213279788 |
Practice Fax Number | 3213207636 |
Mailing Telephone | 8284507064 |
Mailing Fax Number | 8554222581 |
Enumeration Date | 2018-09-07 |
Last Update Date | 2018-10-10 |
Authorized Official Name | VIJAY KATUKURI (OWNER) |
Authorized Official Telephone | 2487070920 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | BREVARD HEALTH GROUP LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Brevard Spine and Rehab Institute | Doing Business As Name - Organization |
Street Address |
1301 W EAU GALLIE BLVD STE 112 |
City | MELBOURNE |
State | FL |
Zip Code | 32935 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255590261 | Vijay Katukuri | Physical Medicine & Rehabilitation | 1301 W Eau Gallie Blvd Ste 112, Melbourne, FL 32935 | 2008-06-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407412018 | Aleecia Estime | Nurse Practitioner | 401 N Wickham Rd Ste S, Melbourne, FL 32935 | 2019-05-20 |
1669948261 | Lisa Marie Sarkees | Social Worker | 1503 Spring Drive, Melbourne, FL 32935 | 2018-10-22 |
1407355399 | Eugene Slaughter | Case Manager/Care Coordinator | 1600 W Eau Gallie Blvd. Suite 201 F, Melbourne, FL 32935 | 2018-02-06 |
1588173173 | Gregory M Mcdermand | Respiratory Therapist, Certified | 2745 Revolution St, Unit 101, Melbourne, FL 32935 | 2017-09-26 |
1386173649 | M Shami | Nurse Practitioner | 401 N Wickham Rd. Suite S, Melbourne, FL 32935 | 2017-06-08 |
1588102297 | Chiro Choice A Limited Liability Company | Clinic/Center | 1310 W Eau Galle Blvd Ste A, Melbourne, FL 32935 | 2017-02-02 |
1124574835 | A Loving Touch Private Home Care | Home Health | 1595 Palmwood Drive, Melbourne, FL 32935 | 2016-09-01 |
1538616099 | Pedro Triana Villamil | Specialist/Technologist, Other | 1600 Sarno Rd. Suite 15, Melbourne, FL 32935 | 2016-09-01 |
1528424132 | Lisa Forsythe | Acupuncturist | 1250 W. Eau Gallie Blvd., Suite H, Melbourne, FL 32935 | 2016-01-12 |
1528432028 | Harbor City Pharmacy Inc | Pharmacy | 503 Harbor City Blvd., Melbourne, FL 32935 | 2015-11-20 |
Find all providers in zip 32935 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568755593 | Richard S Rogers Dc Chartered | Pain Medicine | 1571 Aurora Rd, Melbourne, FL 32935-5448 | 2011-05-24 |
1912013699 | Jose A Alvarez | Pain Medicine | 205 E Nasa Blvd Ste 200, Melbourne, FL 32901-1954 | 2006-08-22 |
1669921094 | Us National Healthcare Clinics, Inc | Pain Medicine | 8043 Spyglass Hill Rd, B, Melbourne, FL 32940-8563 | 2016-09-27 |
1063858447 | The Pain Institute Inc | Pain Medicine | 5545 N Wickham Rd, Suite 104, Melbourne, FL 32940-7323 | 2013-05-13 |
1417247446 | William Goes Stephens | Pain Medicine | 205 E Nasa Blvd Ste 200, Melbourne, FL 32901-1954 | 2011-04-11 |
1336238898 | Albert Esmailzadeh | Pain Medicine | 205 E Nasa Blvd, Suite 200, Melbourne, FL 32901-1950 | 2006-10-12 |
1700819612 | Nancy Lr Layton | Pain Medicine | 307 E New Haven Ave, Melbourne, FL 32901-4576 | 2006-07-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659979706 | Specialty Physician Services. LLC | Pain Medicine | 9150 Sw 87th Ave Ste 200, Miami, FL 33176-2313 | 2020-10-12 |
1700403847 | Advanced Interventional Pain Center Fl | Pain Medicine | 1831 N Belcher Rd Ste E1, Clearwater, FL 33765-1442 | 2020-07-05 |
1770108110 | The Neomedicine Institute LLC | Pain Medicine | 2510 Nw 97th Ave Ste 110, Doral, FL 33172-1407 | 2020-06-11 |
1316583362 | Lisa M Gonzalez | Pain Medicine | 8136 Centralia Ct Ste 103, Leesburg, FL 34788-3757 | 2019-11-25 |
1306488820 | Alberto Rivera-sanchez Pa | Pain Medicine | 201 W Canton Ave Ste 275, Winter Park, FL 32789-3148 | 2019-10-16 |
1912560798 | Jacksonville Spine Center Pa | Pain Medicine | 2349 Village Square Pkwy Ste 107, Fleming Island, FL 32003-4319 | 2019-04-17 |
1942765144 | Nixpain LLC | Pain Medicine | 2750 Ne 14th St, Fort Lauderdale, FL 33304-1611 | 2019-02-01 |
1346737749 | Ceda Orthopedics Group, LLC. | Pain Medicine | 815 Nw 57th Avenue, Ste. 202, Miami, FL 33126 | 2018-04-20 |
1174025001 | Lighthouse Point Surgery Center LLC | Pain Medicine | 1821 Ne 25th St Ste 100, Lighthouse Point, FL 33064-7744 | 2018-03-07 |
1801394440 | Neuspine Therapy LLC | Pain Medicine | 12880 Us 301, Dade City, FL 33525-5801 | 2018-01-29 |
Find all providers with the same taxonomy |
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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.