Brevard Pathology PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

BREVARD PATHOLOGY PA

Practice address

699 W Cocoa BCH Cswy
Ste 203
Cocoa Beach, FL 32931

Phone

(321) 799-7123

NPI assigned

Jan 23, 2006

Last updated

Oct 11, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Marco Burenko, MDNPI 1235109455

Title

President

Phone

(321) 799-7123

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marco Burenko, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Coca Beach, FL
  • NPI 1235109455
  Authorized official Same address or phone

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1619947835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 BREVARD AVE",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "32922",
            "telephone_number": "321-632-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 W COCOA BCH CSWY",
            "address_2": "STE 203",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "32931",
            "telephone_number": "321-799-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD PATHOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-23",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "BURENKO",
        "authorized_official_first_name": "MARCO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-799-7123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah K Birch, FNP-C
• Brian Robert Boggs, MD
• Hassan Borghei, DO
• Aniela Jan Borowski, M.D.
• Brevard Pathology PA
• Ashley Briscoe, APRN
• Brenda Marie Britten, ARNP-C
• Richard Burklew III, LMHC
• Scott D. Bush, PH.D.
• Sheila Buzzo

• Anatomic Pathology & Clinical Pathology Physician in Cocoa Beach, FL
• Providers in Cocoa Beach, FL by specialty
• Anatomic Pathology & Clinical Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.