Brevard Physicians PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME78264 Issued in FL

Legal business name

BREVARD PHYSICIANS PA

Practice address

7137 N US Highway 1
Cocoa, FL 32927-5094

Phone

(321) 632-0552

Fax

(321) 632-1684

NPI assigned

Apr 30, 2010

Last updated

Sep 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vinay Kumar, MDNPI 1184616849

Title

Officer

Phone

(321) 632-0552

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vinay K Kumar, MD

  • Internal Medicine Physician
  • Rockledge, FL
  • NPI 1184616849
  Authorized official Same address or phone

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1013234988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 BARTON BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553127",
            "telephone_number": "321-632-0552",
            "fax_number": "321-632-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7137 N US HIGHWAY 1",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329275094",
            "telephone_number": "321-632-0552",
            "fax_number": "321-632-1684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-30",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "VINAY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "321-632-0552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME78264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brevard Health Alliance Inc (Family Promise Firehouse Clinic)
• Brevard Health Alliance Inc
• Brevard Independent Supportive Services LLC
• Brevard Pharmacy LLC (Port St John Discount Pharmacy)
• Brevard Pharmacy LLC (Port St John Discount Pharmacy)
• Denise Briggs
• Brodnan Medical LLC
• Alexis Nikole Brown
• David Brown
• Jennifer Elisa Brown, MS

• Specialist in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.