CANCER CARE CENTERS OF BREVARD INC
NPI 1023681343
Radiology - Radiation Oncology in Melbourne, FL

NPI Status: Active since July 23, 2021

Contact Information

240 N WICKHAM RD STE 101
MELBOURNE, FL
ZIP 32935
Phone: (321) 752-4811
Fax: (321) 752-4822

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  • Organization
  • Radiology
  • Radiation Oncology
  • CLIA Number: 10D0276348
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-22-2027

About CANCER CARE CENTERS OF BREVARD INC

This page provides the complete NPI Profile along with additional information for Cancer Care Centers Of Brevard Inc, a provider established in Melbourne, Florida operating as a Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1023681343 assigned on July 2021. The practitioner's primary taxonomy code is 2085R0001X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Gail Knight Erentreich (Director Of Clinical Operations)

NPI
1023681343
Provider Name
CANCER CARE CENTERS OF BREVARD INC
Entity Type
Organization
Location Address
240 N WICKHAM RD STE 101 MELBOURNE, FL 32935
Location Phone
(321) 752-4811
Location Fax
(321) 752-4822
Mailing Address
1430 PINE ST MELBOURNE, FL 32901
Mailing Phone
(321) 952-0898
Mailing Fax
(321) 752-4822
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-23-2021
Last Update Date
07-23-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Radiation Oncology

Taxonomy Code
2085R0001X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GAIL KNIGHT ERENTREICH

Authorized Official Title
DIRECTOR OF CLINICAL OPERATIONS
Authorized Official Phone
(321) 636-2111

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D0276348
Facility Type
Physician Office
Certificate Effective Date
December 23, 2025
Certificate Expiration Date
December 22, 2027
Laboratory Director
GIUSEPPE PALERMO
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Cancer Care Centers Of Brevard Inc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1023681343, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
2
Doubled → 4
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
4
Doubled → 8
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 6 → 12 → 3 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 4 + 3 + 1 + 2 + 8 + 2 + 3 + 8 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1023681343.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023681343, enumerated as an "organization" on July 23, 2021.

The provider is located at 240 N WICKHAM RD STE 101 MELBOURNE, FL 32935 and the phone number is (321) 752-4811.

Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.