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OB/GYN SPECIALISTS OF BREVARD, LLC
NPI 1295832343
Specialist in Melbourne, FL

Active since September 20, 2006
1555 W NASA BLVD, MELBOURNE, FL 32901(321) 733-2201(321) 733-2202 Get Directions Write a Review

NPPES record last updated: October 12, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ob/gyn Specialists Of Brevard, Llc NPPES

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

OB/GYN SPECIALISTS OF BREVARD, LLC (NPI 1295832343) is a healthcare organization registered as a specialist in Melbourne, Florida and active in the NPI registry since September 2006. The organization lists Edwin Bruce Hayes, Medical Doctor/owner, as its authorized official.

NPPES Registry Identity

NPI1295832343
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameOB/GYN SPECIALISTS OF BREVARD, LLC
Location Address1555 W NASA BLVDMelbourne, FL 32901-2640
Mailing Address1555 W Nasa BlvdMelbourne, FL 32901-2640 · (321) 733-2201 · Fax (321) 733-2202
Phone(321) 733-2201
Fax(321) 733-2202
Organization SubpartNo
Authorized OfficialEdwin Bruce HayesMedical Doctor/owner · (321) 733-2201
Enumeration DateSeptember 20, 2006
Last NPPES UpdateOctober 12, 2011
✔ NPI 1295832343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in FL · ME69211
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1555 W NASA BLVD, Melbourne, FL 32901
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Other Identifiers 3

Medicaid259101400FL
Medicare UPINH21823FL
Medicare PIN35683XFL

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

Other Providers at the Same Location NPPES 2

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

CLAUDIA R MALLETTE DPM LLC
Podiatrist (Foot & Ankle Surgery)
1555 W NASA BLVD
MELBOURNE, FL 32901
Brevard County (321) 728-0117
MRS. COURTNEY LEE GELD ARNP
Nurse Practitioner (Women's Health)
1555 W NASA BLVD
MELBOURNE, FL 32901
Brevard County (321) 733-2201

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 Ob/Gyn Specialists Of Brevard, LLC's NPI number?

The NPI number for Ob/Gyn Specialists Of Brevard, LLC is 1295832343. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Ob/Gyn Specialists Of Brevard, LLC located?

Ob/Gyn Specialists Of Brevard, LLC is located at 1555 W Nasa Blvd, Melbourne, FL 32901. The listed phone number is (321) 733-2201.

What is Ob/Gyn Specialists Of Brevard, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ob/Gyn Specialists Of Brevard, LLC was last updated on October 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.