MB Community Wellness Provider LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MB COMMUNITY WELLNESS PROVIDER LLC

Practice address

885 33Rd Ave
Vero Beach, FL 32960-4090

Phone

(772) 047-3726

NPI assigned

Sep 12, 2025

Organization subpart

No

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

Authorized official

Name

Al Berry

Title

Manager

Phone

(469) 915-4211

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

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

• Mary Spalding Brown, ARNP

  • Family Nurse Practitioner
  • Vero Beach, FL
  • NPI 1588427520
  Medicare reassignment NPD

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1225909377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 33RD AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604090",
            "telephone_number": "772-047-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 33RD AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604090",
            "telephone_number": "772-047-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MB COMMUNITY WELLNESS PROVIDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "AL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-915-4211"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzette Marie Maynard, ARNP
• Alison Mays, PT
• Ashley Cristina Mays, MD
• Krista Mazzarella, ARNP
• Michael Anthony Mazziotta II, DPM
• Matthew Mark McAndrew, D.M.D.
• Cathy Helen McCallum
• Robert Andrew McCarron, M.D.
• Stacey McCarter
• Ronald Norman McCarty, CRNA,ARNP

• Family Nurse Practitioner in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.