NPIMap

Individual provider Active NPI

Brian Louis Ireland, D.O.

  • Family Medicine Physician
  • Satellite Beach, FL
National Provider Identifier
1225275183
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS11174 Issued in FL
Practice address
1380 S Patrick Dr
Satellite Beach, FL 32937-4375
Phone
(321) 773-2659
Fax
(321) 773-2667
NPI assigned
Jan 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS11174 FL Primary

Addresses

Primary practice location

1380 S Patrick Dr
Satellite Beach, FL 32937-4375

Mailing address

1380 S Patrick Dr
Satellite Beach, FL 32937-4375
Phone (321) 773-2659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110624000542 FL Practitioner - Family Practice 2365620127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Brevard LLCGroup PAC ID 4486558012, 75 clinicians

Practice addresses (Care Compare)

1380 S Patrick Dr
Satellite BCH, FL 32937-4375
Phone (321) 773-2659

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Tanya Schrumpf DC Inc CurrentSince May 1, 2015 Accepting new patients
Medical Associates of Brevard LLC CurrentSince Jul 1, 2011 Accepting new patients
Medical Partners of Florida LLC Past Accepting new patients

Locations

1861 South Patrick Dr
Indian Harbour Beach, FL 32937
Phone (321) 610-8880

8043 Spyglass Hill Rd
Ste 102
Melbourne, FL 32940
Phone (321) 755-6899

1305 Hickory St
Melbourne, FL 32901
Phone (321) 255-1500

1380 South Patrick Dr
Ste 1
Satellite Beach, FL 32937
Phone (321) 773-2659

1380 South Patrick Dr
Satellite Beach, FL 32937
Phone (321) 313-0633

3910 S Washington Ave
Ste 109
Titusville, FL 32780
Phone (321) 267-0188

6300 N Wickham Rd
Ste 116
Viera, FL 32940
Phone (321) 757-6899

Interoperability endpoints

  • Direct secure messaging: brianireland@mab.medentdirect.com
  • Direct secure messaging: brianireland@direct.meditouchehr.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1225275183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 S PATRICK DR",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329374375",
            "telephone_number": "321-773-2659",
            "fax_number": "321-773-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 S PATRICK DR",
            "city": "SATELLITE BEACH",
            "state": "FL",
            "postal_code": "329374375",
            "telephone_number": "321-773-2659",
            "fax_number": "321-773-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRELAND",
        "first_name": "BRIAN",
        "middle_name": "LOUIS",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-14",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS11174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Satellite Beach, FL

Sources for this page

Verify at the official NPI Registry.