BREVARD WOUND CARE CENTER, LLC
NPI 1154910271
Internal Medicine - Infectious Disease in Melbourne, FL
NPI Status: Active since January 13, 2021
Contact Information
445 PINEDA CT
MELBOURNE, FL
ZIP 32940
Phone: (321) 254-1611
Fax: (321) 254-3166
- Organization
- Internal Medicine
- Infectious Disease
- CLIA Number: 10D2121038
- CLIA Cert. Type: Other - ONSITE HEALTH CENTER
- CLIA Exp. Date: 10-27-2026
About BREVARD WOUND CARE CENTER, LLC
This page provides the complete NPI Profile along with additional information for Brevard Wound Care Center, Llc, an internist established in Melbourne, Florida operating as a Internal Medicine, focusing in infectious disease . The healthcare provider is registered in the NPI registry with number 1154910271 assigned on January 2021. The practitioner's primary taxonomy code is 207RI0200X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Brevard Wound Care Center, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Miguel Mateos-mora Md (Owner/operator)
- NPI
- 1154910271
- Provider Name
- BREVARD WOUND CARE CENTER, LLC
- Entity Type
- Organization
- Location Address
- 445 PINEDA CT MELBOURNE, FL 32940
- Location Phone
- (321) 254-1611
- Location Fax
- (321) 254-3166
- Mailing Address
- 445 PINEDA CT MELBOURNE, FL 32940
- Mailing Phone
- (321) 254-1611
- Mailing Fax
- (321) 254-3166
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-13-2021
- Last Update Date
- 01-13-2021
- Code Navigator
An internist like Brevard Wound Care Center, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
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
Internal Medicine Infectious Disease
- Taxonomy Code
- 207RI0200X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
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.
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
- 10D2121038
- Facility Type
- Other - ONSITE HEALTH CENTER
- Certificate Effective Date
- October 28, 2024
- Certificate Expiration Date
- October 27, 2026
- Laboratory Director
- KAREN THOMPSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Brevard Wound Care Center, Llc 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.
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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 1154910271, 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 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154910271, enumerated as an "organization" on January 13, 2021.
The provider is located at 445 PINEDA CT MELBOURNE, FL 32940 and the phone number is (321) 254-1611.
Internal Medicine with taxonomy code 207RI0200X and a focus in Infectious Disease.
