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BREVARD GERIATRICS, LLC
NPI 1225682784
Family Medicine - Geriatric Medicine in Melbourne, FL

Active since August 01, 2019
720 E NEW HAVEN AVE SUITE 11, MELBOURNE, FL 32901(321) 724-4545(321) 728-4168 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Brevard Geriatrics, Llc NPPES

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

BREVARD GERIATRICS, LLC (NPI 1225682784) is a healthcare organization registered as a geriatric medicine in Melbourne, Florida and active in the NPI registry since August 2019. The organization lists John Potomski, Owner, as its authorized official.

NPPES Registry Identity

NPI1225682784
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameBREVARD GERIATRICS, LLC
Location Address720 E NEW HAVEN AVE SUITE 11Melbourne, FL 32901-5474
Mailing Address720 E New Haven Ave Suite 11Melbourne, FL 32901-5474 · (321) 724-4545 · Fax (321) 728-4168
Phone(321) 724-4545
Fax(321) 728-4168
Organization SubpartNo
Authorized OfficialJohn PotomskiOwner · (321) 446-5893
Enumeration DateAugust 1, 2019
✔ NPI 1225682784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
720 E NEW HAVEN AVE SUITE 11, Melbourne, FL 32901
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Other Identifiers 1

Medicaid067596200FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 Geriatrics, LLC's NPI number?

The NPI number for Brevard Geriatrics, LLC is 1225682784. It was assigned to this organization in the NPPES registry on August 1, 2019.

Where is Brevard Geriatrics, LLC located?

Brevard Geriatrics, LLC is located at 720 E New Haven Ave Suite 11, Melbourne, FL 32901. The listed phone number is (321) 724-4545.

What is Brevard Geriatrics, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

What insurance does Brevard Geriatrics, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Brevard Geriatrics, LLC 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 Geriatrics, LLC was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.