Brevard Pain Care PA

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

BREVARD PAIN CARE PA

Practice address

190 S Sykes Creek Pkwy
Suite 1
Merritt Island, FL 32952-3572

Phone

(321) 455-6353

Fax

(321) 455-6361

NPI assigned

Mar 11, 2007

Organization subpart

No

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

Authorized official

Name

Mahmoud A El-Tobgui, M.D.NPI 1255463709

Title

President

Phone

(321) 455-6353

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mahmoud A El-Tobgui, M.D.

  • Specialist
  • Merritt Island, FL
  • NPI 1255463709
  NPD (past) Authorized official

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043342595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 S SYKES CREEK PKWY",
            "address_2": "SUITE 1",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523572",
            "telephone_number": "321-455-6353",
            "fax_number": "321-455-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S SYKES CREEK PKWY",
            "address_2": "SUITE 1",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523572",
            "telephone_number": "321-455-6353",
            "fax_number": "321-455-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD PAIN CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EL-TOBGUI",
        "authorized_official_first_name": "MAHMOUD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-455-6353",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brevard Healthworx Inc
• Brevard Kidney & Hypertension Inc
• Brevard Medical Equipment, Inc.
• Brevard Nephrology Group PA
• Brevard Orthopaedic Spine and Pain Clinic, Inc
• Brevard Pain Care, PA
• Brian B Walls MD PLLC
• Scott Anthony Briceno
• Francine Labbate Bride, MS OTR/L
• Brilliant Smiles Orthodontics

• Specialist in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.