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BREVARD NEPHROLOGY GROUP PA
NPI 1003029786
Internal Medicine - Nephrology in Merritt Island, FL

Active since May 08, 2007
245 S COURTENAY PARKWAY, BLDG B, MERRITT ISLAND, FL 32952(321) 453-5326(321) 452-8507 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 24, 2026, May 7, 2026 (2 updates tracked since 2026).

About Brevard Nephrology Group Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREVARD NEPHROLOGY GROUP PA (NPI 1003029786) is a healthcare organization registered as a nephrology in Merritt Island, Florida and active in the NPI registry since May 2007. The organization lists Hany I Girgis, Manager, as its authorized official.

NPPES Registry Identity

NPI1003029786
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameBREVARD NEPHROLOGY GROUP PA
Location Address245 S COURTENAY PARKWAY, BLDG BMerritt Island, FL 32952
Mailing Address245 S Courtenay Pkwy Ste BMerritt Island, FL 32952-4831 · (321) 453-5326 · Fax (321) 452-8507
Phone(321) 453-5326
Fax(321) 452-8507
Organization SubpartNo
Authorized OfficialHany I GirgisManager · (321) 453-5326
Enumeration DateMay 8, 2007
Last NPPES UpdateAugust 24, 20262 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1003029786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
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.
245 S COURTENAY PARKWAY, Merritt Island, FL 32952
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brevard Nephrology Group Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Brevard Nephrology Group PA, which bills Medicare for the services they deliver. Of these, 6 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Ellery Canlas, M.D.
Nephrology
NPI 1811085749
245 S COURTENAY PKWY
Merritt Island, FL 32952
(321) 453-5326
✔ PECOS✔ Accepts MedicareSame address
Angela Dennis, APRN
Nurse Practitioner
NPI 1205409372
245 S COURTENAY PKWY
Merritt Island, FL 32952
(321) 453-5326
✔ PECOS✔ Accepts MedicareSame address
Christopher Girgis
Nephrology
NPI 1629497029
245 S COURTENAY PKWY
Merritt Island, FL 32952
(321) 453-5326
✔ PECOS✔ Accepts MedicareSame address
Hany Girgis, M.D.
Nephrology
NPI 1306945993
245 S COURTENAY PKWY
Merritt Island, FL 32952
(321) 453-5326
✔ PECOS✔ Accepts MedicareSame address
Charles Wanich, MD
Nephrology
NPI 1376642355
245 S COURTENAY PARKWAY BLDG B
Merritt Island, FL 32952
(321) 453-5326
✔ PECOS✔ Accepts MedicareSame address
Samir Yassa, MD
Nephrology
NPI 1427157494
245 S CURTENAY PARKWAY BLDG B
Merritt Island, FL 32952
(321) 453-5326
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brevard Nephrology Group PA's NPI number?

The NPI number for Brevard Nephrology Group PA is 1003029786. It was assigned to this organization in the NPPES registry on May 8, 2007.

Where is Brevard Nephrology Group PA located?

Brevard Nephrology Group PA is located at 245 S Courtenay Parkway Bldg B, Merritt Island, FL 32952. The listed phone number is (321) 453-5326.

What is Brevard Nephrology Group PA's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Brevard Nephrology Group PA enrolled in Medicare?

Yes. Brevard Nephrology Group PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brevard Nephrology Group PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Brevard Nephrology Group PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nephrology (5) and Nurse Practitioner (1). Of these, 6 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Brevard Nephrology Group PA accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Wellpoint list Brevard Nephrology Group PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brevard Nephrology Group PA was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.