Individual provider Active NPI

Brian Hamzavi, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Melbourne, FL
National Provider Identifier
1750647020
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
ME142146 Issued in FL
Practice address
1344 S Apollo Blvd Ste 200B
Melbourne, FL 32901-3183
Phone
(321) 499-4646
Fax
(321) 270-9449
NPI assigned
Apr 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X ME142146 FL Primary

Addresses

Primary practice location

1344 S Apollo Blvd Ste 200B
Melbourne, FL 32901-3183

Mailing address

1344 S Apollo Blvd Ste 200B
Melbourne, FL 32901-3183
Phone (321) 499-4646

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190924001521 FL Practitioner - Orthopedic Surgery 6608106356 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brian Hamzavi MD LLCGroup PAC ID 9931557741, 2 clinicians
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians

Practice addresses (Care Compare)

1091 Port Malabar Blvd NE
Suite 2
Palm Bay, FL 32905-5100
Phone (267) 481-0901

2225 S Babcock St
Suite 110
Melbourne, FL 32901-5305
Phone (321) 425-4321

3680 N Wickham Rd
Suite B
Melbourne, FL 32935-2327
Phone (321) 255-5500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME142146FLMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Medical Group of Brevard LLC CurrentSince Oct 1, 2019 Accepting new patients
Advanced Surgical Care of Viera, LLC Current Accepting new patients
Brian Hamzavi MD, LLC Sports Medicine CurrentSince Aug 29, 2023 Accepting new patients

Locations

1344 S Apollo Blvd
Ste 300
Melbourne, FL 32901
Phone (321) 308-0659

709 S Harbor City Blvd
Ste 100
Melbourne, FL 32901
Phone (321) 409-9990

1091 Port Malabar Blvd NE
Ste 2
Palm Bay, FL 32905
Phone (321) 409-3073

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1750647020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 S APOLLO BLVD STE 200B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013183",
            "telephone_number": "321-499-4646",
            "fax_number": "321-270-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 S APOLLO BLVD STE 200B",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013183",
            "telephone_number": "321-499-4646",
            "fax_number": "321-270-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMZAVI",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "FL",
            "license": "ME142146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.