1. Home
  2. Directory
  3. Florida
  4. Melbourne
  5. Clinic Center
  6. NPI Profile

BREVARD HEALTH ALLIANCE INC
NPI 1073271763
Clinic/Center - Federally Qualified Health Center (FQHC) in Melbourne, FL

Active since November 30, 2021CLIA Certified · 11 labs
601 E UNIVERSITY BLVD, MELBOURNE, FL 32901(321) 241-6800(321) 241-6888 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 5, 2022, Nov 30, 2021 (2 updates tracked since 2021).

About Brevard Health Alliance Inc NPPES

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

BREVARD HEALTH ALLIANCE INC (NPI 1073271763) is a healthcare organization registered as a federally qualified health center (fqhc) in Melbourne, Florida and active in the NPI registry since November 2021. The organization holds 11 active CLIA laboratory certificates and lists Angela Craig, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1073271763
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBREVARD HEALTH ALLIANCE INC
Location Address601 E UNIVERSITY BLVDMelbourne, FL 32901-7121
Mailing AddressPo Box 1137Melbourne, FL 32902-1137 · (321) 952-9696 · Fax (321) 952-7937
Phone(321) 241-6800
Fax(321) 241-6888
Organization SubpartNo
Authorized OfficialAngela CraigDirector Of Billing · (321) 698-3446
Enumeration DateNovember 30, 2021
Last NPPES UpdateApril 5, 20222 updates tracked since enumeration
NPPES CertifiedApril 5, 2022
✔ NPI 1073271763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
601 E UNIVERSITY BLVD, Melbourne, FL 32901
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA 11

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 for Provider-Performed Microscopy Procedures (PPMP) 10D0953610

Brevard Health Alliance Inc, The · Palm Bay, FL
Active · expires Mar 31, 2028
CLIA Number10D0953610
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorLauren Moak
Laboratory Phone(321) 241-6800
Laboratory LocationBrevard Health Alliance Inc, The5270 S Babcock St NE Suite 1, Palm Bay, FL 32905
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D2232983

Brevard Health Alliance Inc, The · Melbourne, FL
Active · expires Mar 13, 2028
CLIA Number10D2232983
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateMarch 14, 2026
Certificate Expiration DateMarch 13, 2028
Laboratory DirectorTheodore J. Schuck
Laboratory Phone(321) 241-6800
Laboratory LocationBrevard Health Alliance Inc, The2550 Bruce D Buggs Street Suite 137, Melbourne, FL 32901
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D0874863

Brevard Health Alliance Inc, The · Malabar, FL
Active · expires Feb 28, 2028
CLIA Number10D0874863
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorLauren Moak
Laboratory Phone(321) 241-6800
Laboratory LocationBrevard Health Alliance Inc, The775 Malabar Road, Malabar, FL 32950
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D2110118

Brevard Health Alliance Inc, The · Cocoa, FL
Active · expires Feb 14, 2028
CLIA Number10D2110118
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorLauren Moak
Laboratory Phone(321) 241-6800
Laboratory LocationBrevard Health Alliance Inc, The7227 N Us Highway 1, Cocoa, FL 32927
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D0925643

Brevard Health Alliance Inc, The · Rockledge, FL
Active · expires Nov 7, 2027
CLIA Number10D0925643
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateNovember 8, 2025
Certificate Expiration DateNovember 7, 2027
Laboratory DirectorDr. Theodore J. Schuck
Laboratory Phone(321) 241-6800
Laboratory LocationBrevard Health Alliance Inc, The220 Barton Blvd Unit C14, Rockledge, FL 32955
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D2291381

Brevard Health Alliance, Inc, The · Melbourne, FL
Active · expires Oct 9, 2027
CLIA Number10D2291381
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 10, 2025
Certificate Expiration DateOctober 9, 2027
Laboratory DirectorDavid Todd
Laboratory Phone(321) 241-6800
Laboratory LocationBrevard Health Alliance, Inc, The1315 Valentine St, Melbourne, FL 32901
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

TUNGAN MARY CHEN APRN
Nurse Practitioner (Family)
601 E UNIVERSITY BLVD
MELBOURNE, FL 32901
Brevard County (321) 726-2909
BREVARD HEALTH ALLIANCE INC
General Practice
601 E UNIVERSITY BLVD
MELBOURNE, FL 32901
Brevard County (321) 241-6800

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 Health Alliance Inc's NPI number?

The NPI number for Brevard Health Alliance Inc is 1073271763. It was assigned to this organization in the NPPES registry on November 30, 2021.

Where is Brevard Health Alliance Inc located?

Brevard Health Alliance Inc is located at 601 E University Blvd, Melbourne, FL 32901. The listed phone number is (321) 241-6800.

What is Brevard Health Alliance Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Brevard Health Alliance Inc hold CLIA laboratory certificates?

Yes. 11 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Brevard Health Alliance Inc was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.