BREVARD SPINE AND REHAB INSTITUTE
NPI 1346723244
Pain Medicine - Interventional Pain Medicine in Melbourne, FL

Q: What is Brevard Health Group LLC's NPI number?

The NPI number for Brevard Health Group LLC is 1346723244. It was assigned to this organization in the NPPES registry on September 7, 2018. The provider is doing business as Brevard Spine And Rehab Institute.

Q: What is Brevard Health Group LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Active since September 07, 2018CLIA 10D2162509 · Waiver

1301 W EAU GALLIE BLVD STE 112, MELBOURNE, FL 32935(321) 327-9788(321) 320-7636 Get Directions Write a Review

NPPES record last updated: October 10, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 10, 2018, Sep 7, 2018 (2 updates tracked since 2018).

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About Brevard Spine And Rehab Institute NPPES

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

BREVARD SPINE AND REHAB INSTITUTE (NPI 1346723244) is a healthcare organization registered as an interventional pain medicine in Melbourne, Florida and active in the NPI registry since September 2018. The organization holds a CLIA Waiver certificate valid through February 24, 2027 and lists Vijay Katukuri, Owner, as its authorized official.

NPPES Registry Identity

NPI1346723244

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameBREVARD HEALTH GROUP LLC

Location Address1301 W EAU GALLIE BLVD STE 112Melbourne, FL 32935

Mailing Address30 Mountain TerAsheville, NC 28806-1924 · (828) 450-7064 · Fax (855) 422-2581

Phone(321) 327-9788

Fax(321) 320-7636

Organization SubpartYes

Authorized OfficialVijay KatukuriOwner · (248) 707-0920

Enumeration DateSeptember 7, 2018

Last NPPES UpdateOctober 10, 20182 updates tracked since enumeration

✔ NPI 1346723244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

1301 W EAU GALLIE BLVD STE 112, Melbourne, FL 32935

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Other Names 1

Doing Business AsBrevard Spine And Rehab Institute

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

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 of Waiver 10D2162509

Brevard Health Group LLC · Melbourne, FL

Active · expires Feb 24, 2027

CLIA Number10D2162509

Laboratory TypePhysician Office

Certificate Effective DateFebruary 25, 2025

Certificate Expiration DateFebruary 24, 2027

Laboratory DirectorVijay Katukuri

Laboratory Phone(248) 707-0920

Laboratory LocationBrevard Health Group LLC7332 Office Park Place Suite 103, Melbourne, FL 32940

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Group LLC's NPI number?

The NPI number for Brevard Health Group LLC is 1346723244. It was assigned to this organization in the NPPES registry on September 7, 2018. The provider is doing business as Brevard Spine And Rehab Institute.

Where is Brevard Health Group LLC located?

Brevard Health Group LLC is located at 1301 W Eau Gallie Blvd Ste 112, Melbourne, FL 32935. The listed phone number is (321) 327-9788.

What is Brevard Health Group LLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Brevard Health Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2162509) is associated with this NPI, valid through February 24, 2027. 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 Group LLC was last updated on October 10, 2018. 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.