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BREVARD HEALTH ALLIANCE INC
NPI 1275309247
General Practice in Titusville, FL

Active since November 30, 2023CLIA 10D2012749 · Microscopy
611 N SINGLETON AVE, TITUSVILLE, FL 32796(321) 241-6800(321) 241-6890 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brevard Health Alliance Inc NPPES

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

BREVARD HEALTH ALLIANCE INC (NPI 1275309247), doing business as Titusville Dental Clinic, is a healthcare organization registered as a general practice in Titusville, Florida and active in the NPI registry since November 2023. The organization holds a CLIA Microscopy certificate valid through March 31, 2028 and lists Angela Craig, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1275309247
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameBREVARD HEALTH ALLIANCE INC
Location Address611 N SINGLETON AVETitusville, FL 32796-2310
Mailing AddressPo Box 1137Melbourne, FL 32902-1137 · (321) 952-9696 · Fax (321) 952-7937
Phone(321) 241-6800
Fax(321) 241-6890
Organization SubpartNo
Authorized OfficialAngela CraigDirector Of Billing · (321) 241-6834
Enumeration DateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
✔ NPI 1275309247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
611 N SINGLETON AVE, Titusville, FL 32796
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Other Names 1

Doing Business AsTitusville Dental Clinic

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 10D2012749

Brevard Health Alliance Inc, The · Titusville, FL
Active · expires Mar 31, 2028
CLIA Number10D2012749
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorLauren Moak
Laboratory Phone(321) 241-6890
Laboratory LocationBrevard Health Alliance Inc, The1537 N Singleton Ave, Titusville, FL 32796
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

ALAYNE PRENGER PALACIOS R.D, L.D
Dietitian, Registered
611 N SINGLETON AVE
TITUSVILLE, FL 32796
Brevard County (321) 269-6388
BREVARD HEALTH ALLIANCE INC
Clinic/Center (Federally Qualified Health Center (FQHC))
611 N SINGLETON AVE
TITUSVILLE, FL 32796
Brevard County (321) 241-6800
MARIA M ALEMANY RD,LDN
Dietitian, Registered
611 N SINGLETON AVE
TITUSVILLE, FL 32796
Brevard County (321) 269-6392

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 Health Alliance Inc's NPI number?

The NPI number for Brevard Health Alliance Inc is 1275309247. It was assigned to this organization in the NPPES registry on November 30, 2023. The provider is doing business as Titusville Dental Clinic.

Where is Brevard Health Alliance Inc located?

Brevard Health Alliance Inc is located at 611 N Singleton Ave, Titusville, FL 32796. The listed phone number is (321) 241-6800.

What is Brevard Health Alliance Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Brevard Health Alliance Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 10D2012749) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brevard Health Alliance Inc was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.