Active NPI
School District-Brevard County
- Local Education Agency (LEA)
- Viera, FL
National Provider Identifier
1720529696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- SCHOOL DISTRICT-BREVARD COUNTY
- Practice address
- 2700 Judge Fran Jamieson Way
Viera, FL 32940-6601 - Phone
- (321) 633-1000
- NPI assigned
- Mar 13, 2017
- 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
- Dawna Bobersky
- Title
- Director of Ese Program Support
- Phone
- (321) 633-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | FL | Primary |
Addresses
Primary practice location
2700 Judge Fran Jamieson Way
Viera, FL 32940-6601
Mailing address
2700 Judge Fran Jamieson Way
Viera, FL 32940-6601
Phone (321) 633-1000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008057801 | Medicaid | FL | |
| 008057818 | Medicaid | FL | |
| 008057812 | Medicaid | FL | |
| 008057817 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Brevard County School District
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Viera, FL
- NPI 1053260323
-
- Local Education Agency (LEA)
- Viera, FL
- NPI 1508077330
-
- Local Education Agency (LEA)
- Viera, FL
- NPI 1578789277
-
- Local Education Agency (LEA)
- Viera, FL
- NPI 1699986422
-
- Local Education Agency (LEA)
- Viera, FL
- NPI 1871442129
-
- Local Education Agency (LEA)
- Viera, FL
- NPI 1386840049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489363200000",
"number": "1720529696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 JUDGE FRAN JAMIESON WAY",
"city": "VIERA",
"state": "FL",
"postal_code": "329406601",
"telephone_number": "321-633-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 JUDGE FRAN JAMIESON WAY",
"city": "VIERA",
"state": "FL",
"postal_code": "329406601",
"telephone_number": "321-633-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHOOL DISTRICT-BREVARD COUNTY",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-13",
"last_updated": "2017-03-13",
"status": "A",
"authorized_official_last_name": "BOBERSKY",
"authorized_official_first_name": "DAWNA",
"authorized_official_title_or_position": "DIRECTOR OF ESE PROGRAM SUPPORT",
"authorized_official_telephone_number": "321-633-1000"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008057801",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008057818",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008057812",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008057817",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Viera, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.