Organization Active NPI

Brevard Arthritis Center Inc

  • Medical Specialty Clinic/Center
  • Merritt Island, FL
National Provider Identifier
1891063285
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
0046644 Issued in FL
Legal business name
BREVARD ARTHRITIS CENTER INC
Practice address
375 S Courtenay Pkwy
#3
Merritt Island, FL 32952-4886
Phone
(321) 453-8770
Fax
(321) 453-8770
NPI assigned
Dec 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Bruce Milburn
Title
Owner
Phone
(321) 453-8770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 0046644 FL Primary

Addresses

Primary practice location

375 S Courtenay Pkwy
#3
Merritt Island, FL 32952-4886

Mailing address

375 S Courtenay Pkwy
#3
Merritt Island, FL 32952-4886
Phone (321) 453-8770

National Provider Directory

National Provider Directory

Locations

375 S Courtenay Pkwy
Ste 3
Merritt Island, FL 32952
Phone (321) 453-8770

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1891063285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 S COURTENAY PKWY",
            "address_2": "#3",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524886",
            "telephone_number": "321-453-8770",
            "fax_number": "321-453-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 S COURTENAY PKWY",
            "address_2": "#3",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329524886",
            "telephone_number": "321-453-8770",
            "fax_number": "321-453-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD ARTHRITIS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "MILBURN",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-453-8770"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "FL",
            "license": "0046644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.