OB/GYN SPECIALISTS OF BREVARD, LLC
NPI 1295832343
Specialist in Melbourne, FL
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
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ob/gyn Specialists Of Brevard, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Ob/Gyn Specialists Of Brevard, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Ob/Gyn Specialists Of Brevard, LLC enrolled in Medicare?
Yes. Ob/Gyn Specialists Of Brevard, LLC is registered in the Medicare PECOS enrollment system.
When is Ob/Gyn Specialists Of Brevard, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Ob/Gyn Specialists Of Brevard, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Ob/Gyn Specialists Of Brevard, LLC, in Nurse Practitioner and Obstetrics/Gynecology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 15 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.
# Ob/gyn Specialists Of Brevard, Llc · NPI 1295832343
Specialist organization in Melbourne, Florida. Organization record, active in the CMS NPPES registry since September 20, 2006.
## Identity
- **NPI:** 1295832343 (Entity type: Organization)
- **Enumerated:** September 20, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Edwin Hayes, MEDICAL DOCTOR/OWNER
## Practice location
- **Address:** 1555 W NASA BLVD, Melbourne, FL 32901-2640
- **Phone:** (321) 733-2201 · **Fax:** (321) 733-2202
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Obstetrics/Gynecology (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 12, 2011
- **Other identifiers:** Medicaid 259101400 (FL); Medicare UPIN H21823 (FL); Medicare PIN 35683X (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1295832343) · Data from the CMS NPPES public registry.