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NORTH BREVARD MEDICAL SUPPORT, INC
NPI 1396419032
Internal Medicine - Gastroenterology in Port St John, FL

Active since August 05, 2021
5005 PORT ST JOHN PKWY STE 2300, PORT ST JOHN, FL 32927(321) 633-8660(321) 633-8617 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North Brevard Medical Support, Inc NPPES

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

NORTH BREVARD MEDICAL SUPPORT, INC (NPI 1396419032) is a healthcare organization registered as a gastroenterology in Port St John, Florida and active in the NPI registry since August 2021. The organization lists Kent Andrew Bailey, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1396419032
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameNORTH BREVARD MEDICAL SUPPORT, INC
Location Address5005 PORT ST JOHN PKWY STE 2300Port St John, FL 32927-4305
Mailing Address805 Century Medical Dr Ste CTitusville, FL 32796-2100 · (321) 268-6264 · Fax (321) 268-6273
Phone(321) 633-8660
Fax(321) 633-8617
Organization SubpartNo
Authorized OfficialKent Andrew BaileyVp Finance · (321) 268-6111
Enumeration DateAugust 5, 2021
NPPES CertifiedAugust 5, 2021
✔ NPI 1396419032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
5005 PORT ST JOHN PKWY STE 2300, Port St John, FL 32927
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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

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 ›

Other Providers at the Same Location NPPES

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

DR. ROSANNE MARIE HENRY M.D.
Obstetrics & Gynecology
5005 PORT ST JOHN PKWY STE 2300
PORT ST JOHN, FL 32927
Brevard County (321) 633-8663

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 North Brevard Medical Support, Inc's NPI number?

The NPI number for North Brevard Medical Support, Inc is 1396419032. It was assigned to this organization in the NPPES registry on August 5, 2021.

Where is North Brevard Medical Support, Inc located?

North Brevard Medical Support, Inc is located at 5005 Port St John Pkwy Ste 2300, Port St John, FL 32927. The listed phone number is (321) 633-8660.

What is North Brevard Medical Support, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

What insurance does North Brevard Medical Support, Inc accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list North Brevard Medical Support, Inc 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 North Brevard Medical Support, Inc was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.