NPIMap

Organization Active NPI

Family Medical Care of Brevard P.a.

Doing business as Brevard Medical Group

  • Internal Medicine Physician
  • Cocoa, FL
National Provider Identifier
1184954109
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
88173 Issued in FL
Legal business name
FAMILY MEDICAL CARE OF BREVARD P.A.
Doing business as
Brevard Medical Group
Practice address
1317 W Point Dr
Cocoa, FL 32922-6464
Phone
(321) 636-2621
Fax
(321) 636-7285
NPI assigned
Jan 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2010

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

Authorized official

Name
Dr. Hany Guirguis, M.D.
Title
Partner
Phone
(321) 636-2621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 88173 FL Primary

Addresses

Primary practice location

1317 W Point Dr
Cocoa, FL 32922-6464

Mailing address

1317 W Point Dr
Cocoa, FL 32922-6464
Phone (321) 636-2621

Other names 1

  • Brevard Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brevard Medical Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1184954109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 W POINT DR",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226464",
            "telephone_number": "321-636-2621",
            "fax_number": "321-636-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 W POINT DR",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329226464",
            "telephone_number": "321-636-2621",
            "fax_number": "321-636-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL CARE OF BREVARD P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "GUIRGUIS",
        "authorized_official_first_name": "HANY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "321-636-2621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "88173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brevard Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cocoa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.