BREVARD NEUROLOGY ASSOCIATES PA – NPI #1194704544
Clinic/Center

BREVARD NEUROLOGY ASSOCIATES PA is an AHC clinic located in ROCKLEDGE, FL. NPPES has assigned the NPI number 1194704544 to BREVARD NEUROLOGY ASSOCIATES PA on January 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was previously updated about 13 years ago on Apr 12, 2013. 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 NEUROLOGY ASSOCIATES PA below.

NPI Profile for
BREVARD NEUROLOGY ASSOCIATES PA

NPI Number
1194704544
Enumeration Date

(more than 20 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 NEUROLOGY ASSOCIATES PA
Primary location
1910 ROCKLEDGE BLVD
UNIT 101
ROCKLEDGE, FL 32955
Phone: (321) 636-8366 Fax: (321) 636-3985
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
WASIM NIAZI
CORPORATE OFFICE
Phone: (321) 636-8366
Updated
Identifiers

Identifiers for BREVARD NEUROLOGY ASSOCIATES PA

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHER26705FL26705
OTHERAETNAFL4657556
OTHERAETNA GRPFL5395693
OTHERBC BS GRPFL45249
OTHERMEDICARE RRFL130016629
OTHERUNITEDFL0500148
MEDICAIDFL377423600
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
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)
FL ME58732

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.