Medical Associates of Brevard LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MEDICAL ASSOCIATES OF BREVARD LLC

Practice address

2200 W Eau Gallie Blvd Ste 200
Melbourne, FL 32935-3166

Phone

(321) 253-2900

Fax

(321) 435-0100

NPI assigned

Aug 3, 2006

Last updated

Oct 12, 2026By 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

Alison Alvarez

Title

Credentialing Coordinator

Phone

(321) 253-2900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Medical Associates of Brevard, P.A. Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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 (25 of 53)

Practitioners 137

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.

• Cynthia Ann Akin, APRN

  • Nurse Practitioner
  • Palm Bay, FL
  • NPI 1093312324
  Medicare reassignment Care Compare group NPD
• Rebecca Gail Allen, PA-C

  • Physician Assistant
  • Orlando, FL
  • NPI 1356836787
  Medicare reassignment Care Compare group NPD
• Julie Totterdale Anderson, DNP

  • Family Nurse Practitioner
  • Melbourne, FL
  • NPI 1477897692
  Medicare reassignment Care Compare group NPD
• Thomas N Anderson, D. O.

  • Family Medicine Physician
  • Melbourne, FL
  • NPI 1730161548
  Medicare reassignment Care Compare group NPD
• Raman Ashta, MD

  • Family Medicine Physician
  • Melbourne, FL
  • NPI 1144496993
  Medicare reassignment Care Compare group NPD
• Jillian Michele Aydelotte, APRN

  • Acute Care Nurse Practitioner
  • Melbourne, FL
  • NPI 1407516396
  Medicare reassignment Care Compare group NPD
• Shakti Datt Bakshi, M.D.

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1548249535
  Medicare reassignment Care Compare group NPD
• Parvesh K. Bansal, M.D.

  • Pulmonary Disease Physician
  • Melbourne, FL
  • NPI 1548293442
  Medicare reassignment Care Compare group NPD
• Pavana Kumari Beerelli, M.D.

  • Allergy Physician
  • Rockledge, FL
  • NPI 1891957031
  Medicare reassignment Care Compare group NPD
• Holly Carter Bell-Joyner, ARNP

  • Nurse Practitioner
  • Melbourne, FL
  • NPI 1063757334
  Medicare reassignment Care Compare group NPD
• Theresa Marie Black, APRN

  • Gerontology Nurse Practitioner
  • Melbourne, FL
  • NPI 1164119269
  Medicare reassignment Care Compare group NPD
• Scott David Bosy, M.D.

  • Internal Medicine Physician
  • Melbourne, FL
  • NPI 1841618717
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791763200000",
    "number": "1861400103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361095",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329361095",
            "telephone_number": "321-253-2900",
            "fax_number": "321-435-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W EAU GALLIE BLVD STE 200",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353166",
            "telephone_number": "321-253-2900",
            "fax_number": "321-435-0100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2107 Dairy Rd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329045241",
            "country_code": "US",
            "telephone_number": "321-676-7860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1395 N Courtenay Pkwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329534475",
            "country_code": "US",
            "telephone_number": "321-850-2850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "336 Cogan Dr SE",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329096869",
            "country_code": "US",
            "telephone_number": "321-462-4001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 W Eau Gallie Blvd Unit 106",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329354033",
            "country_code": "US",
            "telephone_number": "321-254-6338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2290 W Eau Gallie Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329353134",
            "country_code": "US",
            "telephone_number": "321-752-3888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7000 Spyglass Ct Ste 350",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329408287",
            "country_code": "US",
            "telephone_number": "321-425-3470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2290 W Eau Gallie Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329353134",
            "country_code": "US",
            "telephone_number": "321-309-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Suntree Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329407600",
            "country_code": "US",
            "telephone_number": "321-241-6535",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 N Babcock St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329357335",
            "country_code": "US",
            "telephone_number": "321-241-6540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2194 Highway A1A Ste 201",
            "address_purpose": "LOCATION",
            "city": "Indian Harbour Beach",
            "state": "FL",
            "postal_code": "329374931",
            "country_code": "US",
            "telephone_number": "321-777-6869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5200 Babcock St NE Ste 106A",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329054639",
            "country_code": "US",
            "telephone_number": "321-373-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 Sarno Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329353989",
            "country_code": "US",
            "telephone_number": "321-384-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6080 Babcock St SE",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329093921",
            "country_code": "US",
            "telephone_number": "321-409-3073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3021 W Eau Gallie Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329347005",
            "country_code": "US",
            "telephone_number": "321-255-0959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8057 Spyglass Hill Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329408565",
            "country_code": "US",
            "telephone_number": "321-241-4877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3140 Suntree Blvd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Rockledge",
            "state": "FL",
            "postal_code": "329555789",
            "country_code": "US",
            "telephone_number": "321-985-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1535 W Nasa Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012614",
            "country_code": "US",
            "telephone_number": "321-837-0010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2955 Pineda Plaza Way Ste 107",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329407306",
            "country_code": "US",
            "telephone_number": "321-850-2850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8095 Spyglass Hill Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329408290",
            "country_code": "US",
            "telephone_number": "321-241-6400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "580 N Wickham Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329358400",
            "country_code": "US",
            "telephone_number": "321-255-7118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1051 Port Malabar Blvd NE Ste 4",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329055153",
            "country_code": "US",
            "telephone_number": "321-725-3438",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7730 N Wickham Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329408296",
            "country_code": "US",
            "telephone_number": "321-253-3595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "397 N Wickham Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329358669",
            "country_code": "US",
            "telephone_number": "321-622-6222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2290 W Eau Gallie Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329353134",
            "country_code": "US",
            "telephone_number": "321-421-7555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1380 S Patrick Dr",
            "address_purpose": "LOCATION",
            "city": "Satellite Beach",
            "state": "FL",
            "postal_code": "329374375",
            "country_code": "US",
            "telephone_number": "321-773-2659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8045 Spyglass Hill Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329408567",
            "country_code": "US",
            "telephone_number": "321-255-2289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3044 W New Haven Ave",
            "address_purpose": "LOCATION",
            "city": "West Melbourne",
            "state": "FL",
            "postal_code": "329043566",
            "country_code": "US",
            "telephone_number": "321-473-8613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1555 W Nasa Blvd Unit B1",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329012640",
            "country_code": "US",
            "telephone_number": "321-341-1700",
            "fax_number": "321-622-6295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Pine St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013170",
            "country_code": "US",
            "telephone_number": "321-676-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1051 Port Malabar Blvd NE Ste 3",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329055153",
            "country_code": "US",
            "telephone_number": "321-312-4796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6550 N Wickham Rd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329402038",
            "country_code": "US",
            "telephone_number": "321-255-1947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2186 Harris Ave NE Ste 2",
            "address_purpose": "LOCATION",
            "city": "Palm Bay",
            "state": "FL",
            "postal_code": "329054044",
            "country_code": "US",
            "telephone_number": "321-725-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "655 S Apollo Blvd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329011485",
            "country_code": "US",
            "telephone_number": "321-751-2707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8041 Spyglass Hill Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329408559",
            "country_code": "US",
            "telephone_number": "321-255-4003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 W Eau Gallie Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329355390",
            "country_code": "US",
            "telephone_number": "321-622-8730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013100",
            "country_code": "US",
            "telephone_number": "321-952-0700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1305 Valentine St",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013127",
            "country_code": "US",
            "telephone_number": "321-254-7717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3040 N Wickham Rd Ste 10",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329352369",
            "country_code": "US",
            "telephone_number": "321-428-4840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF BREVARD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "321-253-2900"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250155400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Associates of Brevard, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Medical Associates of Brevard, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.