BREVARD NEPHROLOGY GROUP PA – NPI #1003029786
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

BREVARD NEPHROLOGY GROUP PA is a provider located in MERRITT ISLAND, FL. NPPES has assigned the NPI number 1003029786 to BREVARD NEPHROLOGY GROUP PA on May 08, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on May 07, 2026. 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 NEPHROLOGY GROUP PA below.

NPI Profile for
BREVARD NEPHROLOGY GROUP PA

NPI Number
1003029786
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 NEPHROLOGY GROUP PA
Primary location
245 S COURTENAY PARKWAY
BLDG B
MERRITT ISLAND, FL 32952
Phone: (321) 453-5326 Fax: (321) 452-8507
Mailing address
245 S COURTENAY PKWY STE B
MERRITT ISLAND, FL 32952-4831
Phone: (321) 453-5326 Fax: (321) 452-8507
Organization Subpart
No
Authorized Official
HANY GIRGIS
MANAGER
Phone: (321) 453-5326
Updated
Certification Date
May 07, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207RN0300X
- Internal Medicine / Nephrology (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.