Brevard Pulmonary Specialists PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

BREVARD PULMONARY SPECIALISTS PA

Practice address

103 Longwood Ave
Rockledge, FL 32955-2827

Phone

(321) 631-5677

Fax

(321) 690-0071

NPI assigned

Sep 20, 2006

Last updated

Sep 11, 2025By 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

Mrs. Carol Shepard

Title

Office Manager

Phone

(321) 631-5677

Specialties & licenses 3

Addresses

Other identifiers 1

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.

• Steven Daniel Podnos, M.D.

  • Pulmonary Disease Physician
  • Rockledge, FL
  • NPI 1821026345
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1649378498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LONGWOOD AVE",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552827",
            "telephone_number": "321-631-5677",
            "fax_number": "321-690-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 LONGWOOD AVE",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552827",
            "telephone_number": "321-631-5677",
            "fax_number": "321-690-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD PULMONARY SPECIALISTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "321-631-5677",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS",
            "identifier": "1373308",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brevard Integrated Health Center LLC
• Brevard Neurology Associates PA
• Brevard Pharmacy L.L.C.
• Brevard Physical Medicine (Carnol Health Services)
• Brevard Prosthetics & Orthotics, Inc
• Brevard Urology Associates PA
• Brevard Vascular Associates LLC
• Brevard Vision Center Inc
• Cheryl Diane Brewer-Kemppanion, BSW
• Jessica Brewer, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.