Pediatrics in Brevard, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRICS IN BREVARD, P.A.

Practice address

1018 Florida Ave S Ste a
Rockledge, FL 32955-2142

Phone

(321) 636-3066

Fax

(321) 636-2545

NPI assigned

Nov 2, 2005

Organization subpart

No

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

Authorized official

Name

Melissa Loiselle

Title

Credentialing Coordinator

Phone

(321) 877-4438

Specialties & licenses 1

Addresses

Other identifiers 4

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen P Alvarado, M.D.

  • Pediatrics Physician
  • Allentown, PA
  • NPI 1255330999
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1629069240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 S WOODS DR",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553262",
            "telephone_number": "321-636-3066",
            "fax_number": "321-636-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 FLORIDA AVE S STE A",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552142",
            "telephone_number": "321-636-3066",
            "fax_number": "321-636-2545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8057 Spyglass Hill Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329408565",
            "country_code": "US",
            "telephone_number": "321-435-9800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1755 W Hibiscus Blvd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012616",
            "country_code": "US",
            "telephone_number": "321-724-5437",
            "fax_number": "321-724-5570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1220 N Highway A1A Ste 147",
            "address_purpose": "LOCATION",
            "city": "Indialantic",
            "state": "FL",
            "postal_code": "329032858",
            "country_code": "US",
            "telephone_number": "321-951-9087",
            "fax_number": "321-327-3266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 N Sykes Creek Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329533518",
            "country_code": "US",
            "telephone_number": "321-784-5437",
            "fax_number": "321-799-1231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 Babcock St NE Ste 108",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329054639",
            "country_code": "US",
            "telephone_number": "321-327-8773",
            "fax_number": "321-327-8792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRICS IN BREVARD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "LOISELLE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "321-877-4438"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253255705",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253255700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253255701",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253555703",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Marie Patterson, RN, IBCLC
• Shawnna Lee Patterson, M.D., PH.D.
• Monet Johnson Payne, MA, CCC-SLP
• Krysta Pazos
• Pediatrics in Brevard, P.a.
• Pelican Harbour Assisted Living Facility LLC
• Pelican Harbour Assisted Living II LLC
• Katrina Lynne Pellegrini, PT
• Diana Pena-Stein
• Monica Ann Pena, M.D.

• Pediatrics Physician in Rockledge, FL
• Providers in Rockledge, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.