Active NPI
Victory Spinal Care Brevard County LLC
- Chiropractor
- Melbourne, FL
National Provider Identifier
1558271023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- VICTORY SPINAL CARE BREVARD COUNTY LLC
- Practice address
- 301 W Fee Ave Ste 102
Melbourne, FL 32901-4145 - Phone
- (321) 479-2403
- NPI assigned
- Sep 8, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jered Wayland, DC
- Title
- Owner/Managing Member
- Phone
- (573) 837-9107
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
301 W Fee Ave Ste 102
Melbourne, FL 32901-4145
Mailing address
301 W Fee Ave Ste 102
Melbourne, FL 32901-4145
Phone (321) 479-2403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788825600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789344000000",
"number": "1558271023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 W FEE AVE STE 102",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329014145",
"telephone_number": "321-479-2403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 W FEE AVE STE 102",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329014145",
"telephone_number": "321-479-2403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTORY SPINAL CARE BREVARD COUNTY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-08",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A",
"authorized_official_last_name": "WAYLAND",
"authorized_official_first_name": "JERED",
"authorized_official_title_or_position": "OWNER/MANAGING MEMBER",
"authorized_official_telephone_number": "573-837-9107",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.