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BREVARD HEALTH ALLIANCE
NPI 1114640885
Clinic/Center - Federally Qualified Health Center (FQHC) in Melbourne, FL

Active since September 19, 2022CLIA 10D2291381 · Microscopy
2000 COMMERCE DR, MELBOURNE, FL 32904(321) 241-6800(321) 241-6888 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jan 24, 2023, Sep 19, 2022 (2 updates tracked since 2022).

About Brevard Health Alliance NPPES

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

BREVARD HEALTH ALLIANCE (NPI 1114640885) is a healthcare organization registered as a federally qualified health center (fqhc) in Melbourne, Florida and active in the NPI registry since September 2022. The organization holds a CLIA Microscopy certificate valid through October 9, 2027 and lists Angela Craig, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1114640885
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBREVARD HEALTH ALLIANCE INC
Location Address2000 COMMERCE DRMelbourne, FL 32904-2335
Mailing AddressPo Box 1137Melbourne, FL 32902-1137 · (321) 698-3446 · Fax (321) 952-7937
Phone(321) 241-6800
Fax(321) 241-6888
Organization SubpartNo
Authorized OfficialAngela CraigDirector Of Billing · (321) 241-6834
Enumeration DateSeptember 19, 2022
Last NPPES UpdateJanuary 24, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2023
✔ NPI 1114640885 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
2000 COMMERCE DR, Melbourne, FL 32904
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Other Names 1

Doing Business AsBrevard Health Alliance

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 ›

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 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 20

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

MARIA SANDERS
Counselor (Mental Health)
2000 COMMERCE DR
WEST MELBOURNE, FL 32904
Brevard County (321) 676-6650
THE BREVARD HEALTH ALLIANCE, INC.
General Practice
2000 COMMERCE DR
MELBOURNE, FL 32904
Brevard County (321) 241-6800
TONYA DIX
Registered Nurse
2000 COMMERCE DR
WEST MELBOURNE, FL 32904
Brevard County (321) 676-6650
MEAGAN JIMENEZ
Counselor (Mental Health)
2000 COMMERCE DR
WEST MELBOURNE, FL 32904
Brevard County (321) 676-6650
ALIA PAYNE
Case Manager/Care Coordinator
2000 COMMERCE DR
W MELBOURNE, FL 32904
Brevard County (321) 914-4929
MS. MARY ELLEN TERESA BLAKESLEY BS
Case Manager/Care Coordinator
2000 COMMERCE DR
MELBOURNE, FL 32904
Brevard County (321) 409-2170
TRACEY WOLFF LMHC
Counselor (Mental Health)
2000 COMMERCE DR
MELBOURNE, FL 32904
Brevard County (321) 676-6688
MRS. DELORES ANNE TINELLI-THOMPSON MS
Case Manager/Care Coordinator
2000 COMMERCE DR
MELBOURNE, FL 32904
Brevard County (321) 676-6640

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 1114640885. It was assigned to this organization in the NPPES registry on September 19, 2022. The provider is doing business as Brevard Health Alliance.

Where is Brevard Health Alliance Inc located?

Brevard Health Alliance Inc is located at 2000 Commerce Dr, Melbourne, FL 32904. 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 a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D2291381) is associated with this NPI, valid through October 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Brevard Health Alliance Inc accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Brevard Health Alliance Inc 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 Health Alliance Inc was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.