Broader MRI of Brevard County

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

Legal business name

BROADER MRI OF BREVARD COUNTY

Practice address

1930 Dairy Rd
Melbourne, FL 32904-4046

Phone

(321) 241-3627

Fax

(305) 418-7498

NPI assigned

Nov 2, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Angel Soto

Title

Ceo

Phone

(321) 241-3627

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1508573239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 DAIRY RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329044046",
            "telephone_number": "321-241-3627",
            "fax_number": "305-418-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 DAIRY RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329044046",
            "telephone_number": "321-241-3627",
            "fax_number": "305-418-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADER MRI OF BREVARD COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-241-3627",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmesa@uprightopenmris.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1930 Dairy Rd",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329044046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brighter Days Ppec
• Antonia Renee Briscoe, PT, DPT
• David Lee Brison, P.T.A.
• Victoria Brissette-Rice
• Melissa Ann Britton, FNP-C
• Roberta A. Brock, LMHC
• Allison Brody
• Cori Diane Broedling, MT, PTA
• Clarence James Bronstema, D.O.
• Arlena Sharpe Brookins, LCSW

• Magnetic Resonance Imaging Radiologic Technologist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Magnetic Resonance Imaging Radiologic Technologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.