BREVARD KIDNEY & HYPERTENSION INC – NPI #1235211327
Clinic/Center

BREVARD KIDNEY & HYPERTENSION INC is an AHC clinic located in MERRITT ISLAND, FL. NPPES has assigned the NPI number 1235211327 to BREVARD KIDNEY & HYPERTENSION INC on October 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BREVARD KIDNEY & HYPERTENSION INC below.

NPI Profile for
BREVARD KIDNEY & HYPERTENSION INC

NPI Number
1235211327
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BREVARD KIDNEY & HYPERTENSION INC
Primary location
245 S COURTENAY PKWY
BLDG A
MERRITT ISLAND, FL 32952
Phone: (321) 452-0020 Fax: (321) 453-4366
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SUKON WANICH
ADMINISTRATOR
Phone: (321) 452-0020
Updated
Identifiers

Identifiers for BREVARD KIDNEY & HYPERTENSION INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS OF FLFLV78
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.