Zackary Philip Besner, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME150988 Issued in FL

Practice address

5005 Port St John Pkwy
Cocoa, FL 32927-4305

Phone

(321) 877-2700

Fax

(321) 806-3059

NPI assigned

Apr 24, 2018

Reactivated

Dec 5, 2018

Last updated

Jan 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Space Coast Health Centers IncGroup PAC ID 8224445531, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Parrish Medical Center Hospital, Titusville, FL, CCN 100028
• Cape Canaveral Hospital Hospital, Cocoa Beach, FL, CCN 100177

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17832/brand/2/csg/41/fhir/r4
• Direct secure messaging: zackary.besner.1@17832.direct.athenahealth.com

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Space Coast Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Titusville, FL
  • NPI 1144819319

  Corporate Director, Corporate Officer

  CMS ownership

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

• Space Coast Health Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Titusville, FL
  • NPI 1144819319
  Medicare reassignment Care Compare group NPD
• North Brevard Medical Support, Inc

  dba Parrish Medical Group

  • Multi-Specialty Clinic/Center
  • Titusville, FL
  • NPI 1609834886
  NPD (past)

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

• Cape Canaveral Hospital, Inc.

  • General Acute Care Hospital
  • Cocoa Beach, FL
  • NPI 1184691610
  Care Compare affiliation
• North Brevard County Hospital District

  dba Parrish Medical Center

  • General Acute Care Hospital
  • Titusville, FL
  • NPI 1053424648
  Care Compare affiliation

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1609364728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 CENTURY MEDICAL DR",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962141",
            "telephone_number": "321-268-6836",
            "fax_number": "321-225-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 PORT ST JOHN PKWY",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329274305",
            "telephone_number": "321-877-2700",
            "fax_number": "321-806-3059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "836 Century Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "FL",
            "postal_code": "327962141",
            "country_code": "US",
            "telephone_number": "321-268-6836",
            "fax_number": "321-225-4786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BESNER",
        "first_name": "ZACKARY",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-24",
        "last_updated": "2023-01-31",
        "certification_date": "2021-12-07",
        "deactivation_date": "2018-11-29",
        "reactivation_date": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME150988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112062200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Bell, LMHC
• Charlotte Marie Bellew
• Marilyn Bennett, LMHC
• Renata Pressley Bennett
• Natalia Winter Bertagna
• Kendra Best
• Andrew Jacob Bethke
• Brittany Biba, LCSW
• Rachel Bilbrey
• Bio-Medical Applications of Florida, Inc. (Fresenius Kidney Care Cocoa)

• Internal Medicine Physician in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.