THE BACK CENTER
NPI 1164716676
Radiologic Technologist in Melbourne, FL

Q: What is Brevard Orthopaedics Spine & Pain Clinic, Inc's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

Active since June 01, 2011

2222 S HARBOR CITY BLVD, SUITE 510, MELBOURNE, FL 32901(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: September 06, 2026.

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About The Back Center NPPES

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

THE BACK CENTER (NPI 1164716676) is a healthcare organization registered as a radiologic technologist in Melbourne, Florida and active in the NPI registry since June 2011. The organization lists Katrina Lopez, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1164716676

Entity TypeOrganization

Primary Taxonomy247100000X

Legal Business NameBREVARD ORTHOPAEDICS SPINE & PAIN CLINIC, INC

Location Address2222 S HARBOR CITY BLVD, SUITE 510Melbourne, FL 32901-5594

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 SubpartYesParent: Brevard Orthopaedic Spine & Pain Clinic, Inc

Authorized OfficialKatrina LopezCredentialing · (321) 541-1537

Enumeration DateJune 1, 2011

Last NPPES UpdateJuly 15, 2021

NPPES CertifiedJuly 15, 2021

✔ NPI 1164716676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyRadiologic TechnologistTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247100000X

Definition

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X

Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X

Also ListedRadiologic Technologist · Magnetic Resonance ImagingTaxonomy 2471M1202X

2222 S HARBOR CITY BLVD, Melbourne, FL 32901

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Other Names 1

Doing Business AsThe Back Center

Other Identifiers 2

Other99949FL · Medicare

Medicaid040225700FL

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 20

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

BREVARD ORTHOPAEDIC SPINE & PAIN CLINIC INC

Physical Therapist

2222 S HARBOR CITY BLVD, SUITE 530
MELBOURNE, FL 32901

Brevard County (321) 723-7716

OSLER MEDICAL INC

Internal Medicine

2222 S HARBOR CITY BLVD
MELBOURNE, FL 32901

Brevard County (321) 725-5050

MICHAEL KAMBOURELIS DC

Chiropractor

2222 S HARBOR CITY BLVD, SUITE 450
MELBOURNE, FL 32901

Brevard County (321) 541-1715

RAJ VELLODY MD

Internal Medicine

2222 S HARBOR CITY BLVD, SUITE 420
MELBOURNE, FL 32901

Brevard County (321) 541-1783

ANESTHESIOLOGY CONSULTANTS OF MELBOURNE, PA

Anesthesiology

2222 S HARBOR CITY BLVD, #610
MELBOURNE, FL 32901

Brevard County (561) 955-0169

EFFIE D SAMITAS MD

Internal Medicine

2222 S HARBOR CITY BLVD, SUITE430
MELBOURNE, FL 32901

Brevard County (321) 541-1777

MRS. AMANDA ANN FOLKERS PA-C

Physician Assistant (Medical)

2222 S HARBOR CITY BLVD, SUITE 610
MELBOURNE, FL 32901

Brevard County (321) 723-7716

BREVARD HMA HME, LLC

Durable Medical Equipment & Medical Supplies

2222 S HARBOR CITY BLVD, SUITE 630
MELBOURNE, FL 32901

Brevard County (321) 541-1567

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 Orthopaedics Spine & Pain Clinic, Inc's NPI number?

The NPI number for Brevard Orthopaedics Spine & Pain Clinic, Inc is 1164716676. It was assigned to this organization in the NPPES registry on June 1, 2011. The provider is doing business as The Back Center.

Where is Brevard Orthopaedics Spine & Pain Clinic, Inc located?

Brevard Orthopaedics Spine & Pain Clinic, Inc is located at 2222 S Harbor City Blvd Suite 510, Melbourne, FL 32901. The listed phone number is (321) 723-7716.

What is Brevard Orthopaedics Spine & Pain Clinic, Inc's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

When was this NPI record last updated?

The NPPES record for Brevard Orthopaedics Spine & 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.