THE BACK CENTER
NPI 1124311501
Physical Medicine & Rehabilitation - Pain Medicine in Merritt Island, FL
NPI Status: Active since May 18, 2011
Contact Information
650 S COURTENAY PKWY
SUITE 100
MERRITT ISLAND, FL
ZIP 32952
Phone: (321) 723-7716
Fax: (321) 723-0604
- Organization
- Physical Medicine & Rehabilitation
- Pain Medicine
- CLIA Number: 10D0995499
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-03-2026
About THE BACK CENTER
This page provides the complete NPI Profile along with additional information for The Back Center, a provider established in Merritt Island, Florida operating as a Physical Medicine & Rehabilitation, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1124311501 assigned on May 2011. The practitioner's primary taxonomy code is 2081P2900X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The Back Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as The Back Center. The authorized official of this NPI record is Katrina Lopez (Credentialing)
- NPI
- 1124311501
- Provider Legal Name
- BREVARD ORTHOPAEDIC SPINE AND PAIN CLINIC, INC
- Other Organization Name
- THE BACK CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 650 S COURTENAY PKWY SUITE 100 MERRITT ISLAND, FL 32952
- Location Phone
- (321) 723-7716
- Location Fax
- (321) 723-0604
- Mailing Address
- 2222 S HARBOR CITY BLVD SUITE 610 MELBOURNE, FL 32901
- Mailing Phone
- (321) 723-7716
- Mailing Fax
- (321) 723-0604
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-18-2011
- Last Update Date
- 07-15-2021
- Code Navigator
Location Map
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
Physical Medicine & Rehabilitation Pain Medicine
- Taxonomy Code
- 2081P2900X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 040225700 | MEDICAID (05) | FL | |
| 99949 | OTHER (01) | FL | MEDICARE |
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
- 10D0995499
- Facility Type
- Physician Office
- Certificate Effective Date
- April 04, 2024
- Certificate Expiration Date
- April 03, 2026
- Laboratory Director
- HADI YAZIJI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to The Back Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for THE BACK CENTER
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1124311501, we treat the final digit (1) 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 7 providers are registered at the same or a nearby location.
MERRITT ISLAND, FL 32952
MERRITT ISLAND, FL 32952
MERRITT ISLAND, FL 32952
MERRITT ISLAND, FL 32952
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124311501, enumerated as an "organization" on May 18, 2011.
The provider is located at 650 S COURTENAY PKWY SUITE 100 MERRITT ISLAND, FL 32952 and the phone number is (321) 723-7716.
Physical Medicine & Rehabilitation with taxonomy code 2081P2900X and a focus in Pain Medicine.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
