BREVARD HEALTH GROUP LLC


Address: 1301 W Eau Gallie Blvd Ste 112, Melbourne, FL 32935
Phone: 3213279788

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Brevard Spine and Rehab Institute Doing Business As Name - Organization

Office Location

Street Address 1301 W EAU GALLIE BLVD STE 112
City MELBOURNE
State FL
Zip Code 32935

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255590261 Vijay Katukuri Physical Medicine & Rehabilitation 1301 W Eau Gallie Blvd Ste 112, Melbourne, FL 32935 2008-06-04

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City MELBOURNE
Zip Code 32935

Improve Information

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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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