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THE BACK CENTER
NPI 1124311501
Physical Medicine & Rehabilitation - Pain Medicine in Merritt Island, FL

Active since May 18, 2011
650 S COURTENAY PKWY, SUITE 100, MERRITT ISLAND, FL 32952(321) 723-7716(321) 723-0604 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Back Center NPPES

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

THE BACK CENTER (NPI 1124311501) is a healthcare organization registered as a pain medicine in Merritt Island, Florida and active in the NPI registry since May 2011. The organization lists Katrina Lopez, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1124311501
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameBREVARD ORTHOPAEDIC SPINE AND PAIN CLINIC, INC
Location Address650 S COURTENAY PKWY, SUITE 100Merritt Island, FL 32952-4977
Mailing Address2222 S Harbor City Blvd, Suite 610Melbourne, FL 32901-5594 · (321) 723-7716 · Fax (321) 723-0604
Phone(321) 723-7716
Fax(321) 723-0604
Organization SubpartYes
Authorized OfficialKatrina LopezCredentialing · (321) 541-1537
Enumeration DateMay 18, 2011
Last NPPES UpdateJuly 15, 2021
NPPES CertifiedJuly 15, 2021
✔ NPI 1124311501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
650 S COURTENAY PKWY, Merritt Island, FL 32952
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Other Names 1

Doing Business AsThe Back Center

Other Identifiers 2

Medicaid040225700FL
Other99949FL · Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

JEFFREY T OBRIEN MD INC
Orthopaedic Surgery
650 S COURTENAY PKWY, SUITE 200
MERRITT ISLAND, FL 32952
Brevard County (321) 394-2660
KATHERINE LYNN MATTERN PA
Physician Assistant
650 S COURTENAY PKWY, SUITE 200
MERRITT ISLAND, FL 32952
Brevard County (321) 394-2660
DR. JEFFREY T OBRIEN MD
Orthopaedic Surgery
650 S COURTENAY PKWY, SUITE 200
MERRITT ISLAND, FL 32952
Brevard County (321) 394-2660
JEFFREY T OBRIEN MD INC
Durable Medical Equipment & Medical Supplies
650 S COURTENAY PKWY, STE 200A
MERRITT ISLAND, FL 32952
Brevard County (321) 394-2660
DR. ROBERT A VILLE DC
Chiropractor (Orthopedic)
650 S COURTENAY PKWY, STE 200
MERRITT ISLAND, FL 32952
Brevard County (321) 394-2660
DR. SHANE CHRISTOPHER HERNESMAN MD
Family Medicine
650 S COURTENAY PKWY, SUITE 100
MERRITT ISLAND, FL 32952
Brevard County (321) 453-5888
G LEONARD GIOIA MD PA
Specialist
650 S COURTENAY PKWY, STE 102
MERRITT ISLAND, FL 32952
Brevard County (321) 453-2440

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 Orthopaedic Spine And Pain Clinic, Inc's NPI number?

The NPI number for Brevard Orthopaedic Spine And Pain Clinic, Inc is 1124311501. It was assigned to this organization in the NPPES registry on May 18, 2011. The provider is doing business as The Back Center.

Where is Brevard Orthopaedic Spine And Pain Clinic, Inc located?

Brevard Orthopaedic Spine And Pain Clinic, Inc is located at 650 S Courtenay Pkwy Suite 100, Merritt Island, FL 32952. The listed phone number is (321) 723-7716.

What is Brevard Orthopaedic Spine And Pain Clinic, Inc's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

When was this NPI record last updated?

The NPPES record for Brevard Orthopaedic Spine And Pain Clinic, Inc was last updated on July 15, 2021. 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.