OB/GYN Specialists of Brevard, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME69211 Issued in FL

Legal business name

OB/GYN SPECIALISTS OF BREVARD, LLC

Practice address

1555 W Nasa Blvd
Melbourne, FL 32901-2640

Phone

(321) 733-2201

Fax

(321) 733-2202

NPI assigned

Sep 20, 2006

Organization subpart

No

Name

Dr. Edwin Bruce Hayes, M.D.NPI 1710977988

Title

Medical Doctor/Owner

Phone

(321) 733-2201

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

• Edwin Bruce Hayes, M.D.

  • Obstetrics & Gynecology Physician
  • Melbourne, FL
  • NPI 1710977988

  FL, Specialist

  Medicare reassignment NPD Authorized official
• Rebecca Mary Elizabeth Hayes, ARNP-C

  • Family Nurse Practitioner
  • Melbourne, FL
  • NPI 1134411622

  FL

  Medicare reassignment NPD
• Amy P Helms, ARNP

  • Women's Health Nurse Practitioner
  • Melbourne, FL
  • NPI 1881962777

  FL

  Medicare reassignment NPD
• Courtney Lee Geld, ARNP

  • Women's Health Nurse Practitioner
  • Melbourne, FL
  • NPI 1245711639
  NPD

Medicare fee-for-service enrollment

Enrolled in FL

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2183/brand/332/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 12, 2011.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1295832343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 W NASA BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012640",
            "telephone_number": "321-733-2201",
            "fax_number": "321-733-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 W NASA BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012640",
            "telephone_number": "321-733-2201",
            "fax_number": "321-733-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB/GYN SPECIALISTS OF BREVARD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "MEDICAL DOCTOR/OWNER",
        "authorized_official_telephone_number": "321-733-2201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME69211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259101400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan O'Shaughnessy
• Mary Kay O'Toole, CRNA
• Oahu Home Care LLC
• OB Hospitalist Group LLC
• OB Hospitalist Group LLC
• Crina Obeada, BCBA
• Glenn Oberbeck
• Daniel Obradovich, DPT
• Gabriela Ocasio Bultron, APRN, FNP-BC
• Anthony Emmanuel Ocasio Cruz, L.AC, DOM

• All providers in Melbourne, FL
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.