NPIMap

Organization Active NPI

Cancer Care Centers of Brevard Inc

  • Radiation Oncology Physician
  • Merritt Island, FL
National Provider Identifier
1982277208
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
CANCER CARE CENTERS OF BREVARD INC
Practice address
215 Cone Rd
Merritt Island, FL 32952-3114
Phone
(321) 453-7440
Fax
(321) 452-6687
NPI assigned
Jul 23, 2021
Last updated
Jul 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Authorized official

Name
Gail Knight Erentreich
Title
Director of Clinical Operations
Phone
(321) 636-2111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X NU Primary

Addresses

Primary practice location

215 Cone Rd
Merritt Island, FL 32952-3114

Mailing address

1430 Pine St
Melbourne, FL 32901-3119
Phone (321) 952-0898

National Provider Directory

National Provider Directory
Tax ID family
Cancer Care Centers of Brevard Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1982277208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 PINE ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013119",
            "telephone_number": "321-952-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 CONE RD",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329523114",
            "telephone_number": "321-453-7440",
            "fax_number": "321-452-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CARE CENTERS OF BREVARD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "ERENTREICH",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "KNIGHT",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "321-636-2111"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "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 Jul 23, 2021; 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.