Brevard Prosthetics & Orthotics, Inc
Organization Active NPI Prosthetic/Orthotic Supplier · Melbourne, FL
NPI 1467597450 · NPPES record last updated Sep 10, 2026
Key facts
- NPI
- 1467597450
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Legal business name
- BREVARD PROSTHETICS & ORTHOTICS, INC
- Practice address
- 3040 N Wickham Rd Ste 7
Melbourne, FL 32935-2369 - Phone
- (321) 733-7778
- Fax
- (321) 638-4559
- NPI assigned
- Feb 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Laura Allen
- Title
- Contracting Manager
- Phone
- (336) 482-8231
Other NPIs with the same Medicare PAC ID 3
Subparts reporting this organization as parent 3
Corporate family (same tax ID) 3
Member of 1
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Brevard Prosthetics & Orthotics Inc |
Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930040755 | FL | DME Supplier - Prosthetic Personnel |
1557482445 | Practice locations: Melbourne, FL |
National Provider Directory
- Tax ID family
- Brevard Prosthetics Orthotics Inc
- Part of
- Brevard Prosthetics Orthotics Inc
Locations
3040 N Wickham Rd
Ste 14
Melbourne, FL 32935
Phone (321) 733-7778
1405 Valentine St
Melbourne, FL 32901
Phone (321) 586-5001
2223 S Washington Ave
Ste A
Titusville, FL 32780
Phone (321) 225-8001
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
3040 N Wickham Rd Ste 7
Melbourne, FL 32935-2369
Mailing address
PO Box 2300
Valparaiso, IN 46384-2300
Phone (219) 791-9200
Other names
- Brevard Prosthetics, Inc.
Other providers in Melbourne, FL
- Brevard Pathology Services PA
- Brevard Physical Therapy LLC
- Brevard Physician Associates, PLLC
- Brevard Physician Associates, PLLC
- Brevard Primary Care LLC
- Brevard Psychiatry & Psychology Inc
- Brevard Psychiatry LLC
- Brevard Psychiatry LLC
- Brevard Psychological Associates, Inc
- Brevard Regional Hyperbaric Center
All providers in Melbourne, FL · Prosthetic/Orthotic Supplier in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.