Brevard Clinical Research Center, Inc.

Primary specialty

Research Study SpecialistTaxonomy code 1744R1102X

Legal business name

BREVARD CLINICAL RESEARCH CENTER, INC.

Practice address

187 S Wickham Rd
Unit 101
Melbourne, FL 32904-1123

Phone

(321) 312-4530

NPI assigned

Oct 8, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Elizabeth Smith

Title

President

Phone

(321) 312-4530

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1730550328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 CYPRESS MILL RD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347462753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 S WICKHAM RD",
            "address_2": "UNIT 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329041123",
            "telephone_number": "321-312-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD CLINICAL RESEARCH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "321-312-4530",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist, Research Study",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Research Study Specialist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Research Study Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; 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.