Organization Active NPI

Neurology Associates of Brevard LLC

Doing business as Neurology Associates of Brevard

  • Neurology Physician
  • Melbourne, FL
National Provider Identifier
1073830170
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NEUROLOGY ASSOCIATES OF BREVARD LLC
Doing business as
Neurology Associates of Brevard
Practice address
8055 Spyglass Hill Rd
Suite 102
Melbourne, FL 32940-8564
Phone
(321) 637-4760
Fax
(321) 637-4715
NPI assigned
Apr 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Sandi Laroche
Title
Mso Credentialing Coordinator
Phone
(321) 449-4168

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

8055 Spyglass Hill Rd
Suite 102
Melbourne, FL 32940-8564

Mailing address

150 N Sykes Creek Pkwy
Suite 300
Merritt Island, FL 32953-3488
Phone (321) 449-4168

Other identifiers 1

IdentifierTypeStateIssuer
1114197423OtherDR NPI

Other names 1

  • Neurology Associates of Brevard Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1073830170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N SYKES CREEK PKWY",
            "address_2": "SUITE 300",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533488",
            "telephone_number": "321-449-4168",
            "fax_number": "321-449-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 SPYGLASS HILL RD",
            "address_2": "SUITE 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408564",
            "telephone_number": "321-637-4760",
            "fax_number": "321-637-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES OF BREVARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "LAROCHE",
        "authorized_official_first_name": "SANDI",
        "authorized_official_title_or_position": "MSO CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "321-449-4168"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR NPI",
            "identifier": "1114197423",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurology Associates of Brevard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.