Organization Active NPI

Brevard Urgent Care PLLC

  • Urgent Care Clinic/Center
  • W Melbourne, FL
National Provider Identifier
1366796385
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
BREVARD URGENT CARE PLLC
Practice address
2795 W New Haven Ave
W Melbourne, FL 32904-3705
Phone
(321) 676-8732
NPI assigned
Oct 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Authorized official

Name
Dr. Aravind Kumar, MD
Title
Owner
Phone
(321) 676-8732

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

2795 W New Haven Ave
W Melbourne, FL 32904-3705

Mailing address

PO Box 411685
Melbourne, FL 32941-1685
Phone (321) 676-8732

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1366796385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 411685",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329411685",
            "telephone_number": "321-676-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 W NEW HAVEN AVE",
            "city": "W MELBOURNE",
            "state": "FL",
            "postal_code": "329043705",
            "telephone_number": "321-676-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "ARAVIND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-676-8732",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in W Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.