GLOMAR MEDICAL INC.
NPI 1053913095
Nurse Practitioner - Gerontology in Palm Bay, FL

Active since November 13, 2020
341 ALLISON DR, PALM BAY, FL 32908(321) 543-9830 Get Directions Write a Review

NPPES record last updated: December 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 3, 2020, Nov 13, 2020 (2 updates tracked since 2020).

About Glomar Medical Inc. NPPES

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

GLOMAR MEDICAL INC. (NPI 1053913095), doing business as Glomar Medical Llc, is a healthcare organization registered as a gerontology in Palm Bay, Florida and active in the NPI registry since November 2020. The organization lists Neil J Frey, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1053913095
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameGLOMAR MEDICAL INC.
Location Address341 ALLISON DRPalm Bay, FL 32908-6405
Mailing Address341 Allison DrPalm Bay, FL 32908-6405 · (321) 543-9830
Organization SubpartNo
Authorized OfficialNeil J FreyChief Executive Officer · (321) 543-9830
Enumeration DateNovember 13, 2020
Last NPPES UpdateDecember 3, 20202 updates tracked since enumeration
NPPES CertifiedDecember 3, 2020
✔ NPI 1053913095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
341 ALLISON DR, Palm Bay, FL 32908

Other Names 1

Former Legal Business NameGlomar Medical Llc

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glomar Medical Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Glomar Medical Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1265093074
341 ALLISON DR
Palm Bay, FL 32908
(321) 543-9830
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1760996086
442 NEW AVE NE
Palm Bay, FL 32907
(321) 282-1499
✔ PECOS✔ Accepts Medicare6.2 mi
Nurse Practitioner
NPI 1619831641
442 NEW AVE NE
Palm Bay, FL 32907
(321) 282-1499
✔ PECOS✔ Accepts Medicare6.2 mi
Nurse Practitioner
NPI 1528877065
12920 US HIGHWAY 1 STE A
Sebastian, FL 32958
(772) 388-8322
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1003227166
4305 S PLEASANT CROSSING BLVD STE 3
Rogers, AR 72758
(479) 289-8376
✔ PECOS✔ Accepts Medicare971 mi

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 Glomar Medical Inc.'s NPI number?

The NPI number for Glomar Medical Inc. is 1053913095. It was assigned to this organization in the NPPES registry on November 13, 2020. The provider was formerly known as Glomar Medical LLC.

Where is Glomar Medical Inc. located?

Glomar Medical Inc. is located at 341 Allison Dr, Palm Bay, FL 32908. The listed phone number is (321) 543-9830.

What is Glomar Medical Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Glomar Medical Inc. enrolled in Medicare?

Yes. Glomar Medical Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Glomar Medical Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Glomar Medical Inc.. 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 Nurse Practitioner (4) and Family Practice (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Glomar Medical Inc. was last updated on December 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.