Brevard Health Alliance Inc

A Medicare group practice based in Melbourne, FL: 25 NPIs enrolled under one PECOS associate control ID (PAC ID 0446201768), with 94 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0446201768The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
FL
Enrollments
19
Group size
50 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
35In 6 places

Enrollment records 19

Enrollment IDStateProvider typeNPI
O20050203000748 FL Part A Provider - Federally Qualified Health Center (FQHC) 1316004815
O20050203000754 FL Part A Provider - Federally Qualified Health Center (FQHC) 1528115458
O20060609000218 FL Part A Provider - Federally Qualified Health Center (FQHC) 1134276074
O20101109001262 FL Part A Provider - Federally Qualified Health Center (FQHC) 1427363597
O20180814004159 FL Part A Provider - Federally Qualified Health Center (FQHC) 1871070417
O20200124001584 FL Part B Supplier - Pharmacy 1285111732
O20221229001954 FL Part B Supplier - Pharmacy 1427779578
O20221217000481 FL Part A Provider - Federally Qualified Health Center (FQHC) 1104549484
O20220523002546 FL Part A Provider - Federally Qualified Health Center (FQHC) 1073271763
O20211014000124 FL Part A Provider - Federally Qualified Health Center (FQHC) 1184398380
O20240130001425 FL Part A Provider - Federally Qualified Health Center (FQHC) 1740056712
O20240220001135 FL Part A Provider - Federally Qualified Health Center (FQHC) 1780450759
O20230615002688 FL Part A Provider - Federally Qualified Health Center (FQHC) 1114640885
O20231208002834 FL Part A Provider - Federally Qualified Health Center (FQHC) 1386421097
O20160621000001 FL Part A Provider - Federally Qualified Health Center (FQHC) 1962857417
O20130708000412 FL Part A Provider - Federally Qualified Health Center (FQHC) 1639413925
O20130720000124 FL Part A Provider - Federally Qualified Health Center (FQHC) 1013355726
O20151124000192 FL Part B Supplier - Clinic/Group Practice 1013355726
O20120524000658 FL Part A Provider - Federally Qualified Health Center (FQHC) 1790056877

NPIs in this group 25

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 94

Clinicians who reassign their Medicare benefits to this group (71) or whom Care Compare lists as members (50).

Sources for this page