NPIMap

Organization Active NPI

Brevard Surgical Solutions L.L.C.

  • Surgical Physician Assistant
  • Gainesville, FL
National Provider Identifier
1891085692
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA 9104639 Issued in FL
Legal business name
BREVARD SURGICAL SOLUTIONS L.L.C.
Practice address
11302 NW 31St Rd
Gainesville, FL 32606-6840
Phone
(407) 761-7340
NPI assigned
Apr 13, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Mr. Bryan Keith Stewart, PA-CNPI 1811153828
Title
President
Phone
(407) 761-7340

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AS0400X PA 9104639 FL Primary

Addresses

Primary practice location

11302 NW 31St Rd
Gainesville, FL 32606-6840

Mailing address

11302 NW 31St Rd
Gainesville, FL 32606-6840
Phone (407) 761-7340

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1891085692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11302 NW 31ST RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066840",
            "telephone_number": "407-761-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11302 NW 31ST RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066840",
            "telephone_number": "407-761-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREVARD SURGICAL SOLUTIONS L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-761-7340",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA 9104639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

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