Organization Active NPI

Brian Hamzavi MD, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Palm Bay, FL
National Provider Identifier
1275308660
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
BRIAN HAMZAVI MD, LLC
Doing business as
Hammer Orthopaedics and Sports Medicine
Practice address
1091 Port Malabar Blvd NE Ste 2
Palm Bay, FL 32905-5100
Phone
(321) 327-2564
Fax
(321) 241-3027
NPI assigned
Nov 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Brian Hamzavi, MDNPI 1750647020
Title
Physician
Phone
(321) 327-2564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

1091 Port Malabar Blvd NE Ste 2
Palm Bay, FL 32905-5100

Mailing address

1091 Port Malabar Blvd NE Ste 2
Palm Bay, FL 32905-5100
Phone (321) 327-2564

Other names 1

  • Hammer Orthopaedics and Sports Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231204002551 FL Part B Supplier - Clinic/Group Practice 9931557741 Receives reassigned benefits from 2 practitioners
Practice locations: Palm Bay, FL

National Provider Directory

National Provider Directory

Locations

1091 Port Malabar Blvd NE
Ste 2
Palm Bay, FL 32905
Phone (321) 409-3073

Practitioners & affiliated clinicians

Practitioners 2

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": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1275308660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 PORT MALABAR BLVD NE STE 2",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055100",
            "telephone_number": "321-327-2564",
            "fax_number": "321-241-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 PORT MALABAR BLVD NE STE 2",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329055100",
            "telephone_number": "321-327-2564",
            "fax_number": "321-241-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN HAMZAVI MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "HAMZAVI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "321-327-2564",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hammer Orthopaedics and Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.