NPIMap

Organization Active NPI

Brevard Nephrology Group PA

  • Nephrology Physician
  • Merritt Island, FL
National Provider Identifier
1003029786
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
BREVARD NEPHROLOGY GROUP PA
Practice address
245 S Courtenay Parkway
BLDG B
Merritt Island, FL 32952
Phone
(321) 453-5326
Fax
(321) 452-8507
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hany I GirgisNPI 1306945993
Title
Manager
Phone
(321) 453-5326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

245 S Courtenay Parkway
BLDG B
Merritt Island, FL 32952

Mailing address

245 S Courtenay Pkwy Ste B
Merritt Island, FL 32952-4831
Phone (321) 453-5326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040803000064 FL Part B Supplier - Clinic/Group Practice 3779554985 Receives reassigned benefits from 5 practitioners
Practice locations: Merritt Island, FL

National Provider Directory

National Provider Directory

Locations

245 S Courtenay Pkwy
Ste B
Merritt Island, FL 32952
Phone (321) 453-5326

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72643

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1003029786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S COURTENAY PKWY STE B",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524831",
            "telephone_number": "321-453-5326",
            "fax_number": "321-452-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S COURTENAY PARKWAY",
            "address_2": "BLDG B",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "32952",
            "telephone_number": "321-453-5326",
            "fax_number": "321-452-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD NEPHROLOGY GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "GIRGIS",
        "authorized_official_first_name": "HANY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "321-453-5326"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.