DRS Roberts & Bryan PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

DRS ROBERTS & BRYAN PA

Practice address

1286 Florida Ave S
Rockledge, FL 32955-2484

Phone

(321) 636-7780

Fax

(321) 636-1152

NPI assigned

Dec 21, 2005

Organization subpart

No

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

Authorized official

Name

Laura McGrath

Title

Practice Manager

Phone

(321) 301-4747

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Brevard Skin & Cancer Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 22

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

• Hailey Grubbs, DO

  • Dermatology Physician
  • Rockledge, FL
  • NPI 1114487246
  Medicare reassignment Care Compare group NPD
• Brookelynn K Kendrick, NP-C

  • Nurse Practitioner
  • Rockledge, FL
  • NPI 1225412901
  Medicare reassignment Care Compare group NPD
• Christian Adam Kendrick, ARNP

  • Nurse Practitioner
  • Rockledge, FL
  • NPI 1205296407
  Medicare reassignment Care Compare group NPD
• Richard Christopher Kirkpatrick, MD

  • Dermatology Physician
  • Rockledge, FL
  • NPI 1821074980
  Medicare reassignment Care Compare group NPD
• Andrew Glen Miner, M.D.

  • Dermatology Physician
  • Rockledge, FL
  • NPI 1568604668
  Medicare reassignment Care Compare group NPD
• Mario Jose Sequeira, MD

  • Dermatology Physician
  • Rockledge, FL
  • NPI 1033195896
  Medicare reassignment Care Compare group NPD
• Courtney Jayne Austin, PA-C

  • Physician Assistant
  • Rockledge, FL
  • NPI 1588334890
  Medicare reassignment Care Compare group
• Alexis Best, PA-C

  • Medical Physician Assistant
  • Rockledge, FL
  • NPI 1144687534
  Medicare reassignment Care Compare group
• Makesha Holbrook Curd, PA-C

  • Medical Physician Assistant
  • Rockledge, FL
  • NPI 1427269976
  Medicare reassignment Care Compare group
• Marze Lush, PA-C

  • Physician Assistant
  • Rockledge, FL
  • NPI 1912127911
  Medicare reassignment Care Compare group
• Lillian Nicholson, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Rockledge, FL
  • NPI 1861184533
  Medicare reassignment Care Compare group
• Allison Anne Raco, PAC

  • Medical Physician Assistant
  • Viera, FL
  • NPI 1548246606
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726790400000",
    "number": "1346226404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1286 FLORIDA AVE S",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552484",
            "telephone_number": "321-636-7780",
            "fax_number": "321-636-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1286 FLORIDA AVE S",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552484",
            "telephone_number": "321-636-7780",
            "fax_number": "321-636-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS ROBERTS & BRYAN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A",
        "authorized_official_last_name": "MCGRATH",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "321-301-4747"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "C11086",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063028400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brevard Skin & Cancer Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Rose Donovan
• Kaitlin Donovan, DMD
• Trinity Donovan, RBT
• Krisha Dorsey
• Lashonda Drake
• Tracey Renee Dumphy
• Marcilla Ann Dupree
• Dzuy Le MD LLC
• E. W. Anesthesia Services Inc.
• Easterseals Florida, Inc.

• Dermatology Physician in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; 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.