NPIMap

Individual provider Active NPI

Christopher Scott Nunes, MD

  • Internal Medicine Physician
  • Melbourne, FL
National Provider Identifier
1508821265
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME79204 Issued in FL
Practice address
8057 Spyglass Hill Rd
Suite 104
Melbourne, FL 32940-8565
Phone
(321) 241-4877
Fax
(321) 241-4879
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME79204 FL Primary

Addresses

Primary practice location

8057 Spyglass Hill Rd
Suite 104
Melbourne, FL 32940-8565

Mailing address

8057 Spyglass Hill Rd
Suite 104
Melbourne, FL 32940-8565
Phone (321) 241-4877

Other identifiers 2

IdentifierTypeStateIssuer
261852400MedicaidFL
110225558OtherRAIL ROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100809001082 FL Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7719010990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Medical College of Georgia School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of Brevard LLCGroup PAC ID 4486558012, 75 clinicians

Practice addresses (Care Compare)

8057 Spyglass Hill Rd
Suite 104
Melbourne, FL 32940-8565
Phone (321) 241-4877

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME79204FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Brevard LLC CurrentSince Nov 1, 2014 Accepting new patients
Osler Medical Inc Past Accepting new patients

Locations

1341 Medical Park Dr
Ste 101A
Melbourne, FL 32901
Phone (321) 733-2711

1305 Hickory St
Melbourne, FL 32901
Phone (321) 255-1500

240 N Wickham Rd
Ste 300
Melbourne, FL 32935
Phone (321) 308-5050

2222 S Harbor City Blvd
Ste 610
Melbourne, FL 32901
Phone (321) 541-1537

8057 Spyglass Hill Rd
Ste 104
Viera, FL 32940
Phone (321) 241-4877

Interoperability endpoints

  • Direct secure messaging: christophernunes@mab.medentdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1508821265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8057 SPYGLASS HILL RD",
            "address_2": "SUITE 104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408565",
            "telephone_number": "321-241-4877",
            "fax_number": "321-241-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8057 SPYGLASS HILL RD",
            "address_2": "SUITE 104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408565",
            "telephone_number": "321-241-4877",
            "fax_number": "321-241-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNES",
        "first_name": "CHRISTOPHER",
        "middle_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME79204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261852400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "110225558",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.