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PEDIATRICS IN BREVARD, P.A.
NPI 1003807637
Pediatrics in Melbourne, FL

Active since November 02, 2005CLIA 10D1045528 · Certificate of Compliance
8057 SPYGLASS HILL RD STE 102, MELBOURNE, FL 32940(321) 435-9800(321) 435-9803 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 4, 2022, Jul 13, 2021, Dec 21, 2020 and 1 more (4 updates tracked since 2020).

About Pediatrics In Brevard, P.a. NPPES

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

PEDIATRICS IN BREVARD, P.A. (NPI 1003807637) is a healthcare organization registered as a pediatrics in Melbourne, Florida and active in the NPI registry since November 2005. The organization holds a CLIA Certificate of Compliance certificate valid through November 9, 2027 and lists Melissa Loiselle, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1003807637
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRICS IN BREVARD, P.A.
Location Address8057 SPYGLASS HILL RD STE 102Melbourne, FL 32940-8565
Mailing Address134 S Woods DrRockledge, FL 32955-3262
Phone(321) 435-9800
Fax(321) 435-9803
Organization SubpartNo
Authorized OfficialMelissa LoiselleCredentialing Coordinator · (321) 435-9800
Enumeration DateNovember 2, 2005
Last NPPES UpdateOctober 4, 20224 updates tracked since enumeration
NPPES CertifiedOctober 4, 2022
✔ NPI 1003807637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

8057 SPYGLASS HILL RD STE 102, Melbourne, FL 32940
Open in Google Maps ↗

Other Identifiers 1

Medicaid253255703FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D1045528

Pediatrics In Brevard PA · Melbourne, FL
Active · expires Nov 9, 2027
CLIA Number10D1045528
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2025
Certificate Expiration DateNovember 9, 2027
Laboratory DirectorJohn C. Kennedy
Laboratory Phone(321) 435-9800
Laboratory LocationPediatrics In Brevard PA8057 Spyglass Hill Rd Ste 102, Melbourne, FL 32940
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHANNEN M MCGINLEY-VALLEE DO
Pediatrics
8057 SPYGLASS HILL RD STE 102
VIERA, FL 32940
Brevard County (321) 435-9800
ARYANNA F. LEE M.D.
Pediatrics
8057 SPYGLASS HILL RD STE 102
VIERA, FL 32940
Brevard County (321) 435-9800

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 Pediatrics In Brevard, P.A.'s NPI number?

The NPI number for Pediatrics In Brevard, P.A. is 1003807637. It was assigned to this organization in the NPPES registry on November 2, 2005.

Where is Pediatrics In Brevard, P.A. located?

Pediatrics In Brevard, P.A. is located at 8057 Spyglass Hill Rd Ste 102, Melbourne, FL 32940. The listed phone number is (321) 435-9800.

What is Pediatrics In Brevard, P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pediatrics In Brevard, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D1045528) is associated with this NPI, valid through November 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatrics In Brevard, P.A. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pediatrics In Brevard, P.A. 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 Pediatrics In Brevard, P.A. was last updated on October 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.