BREVARD HEALTH ALLIANCE
NPI 1558088070
General Practice in Melbourne, FL

Q: What is Brevard Health Alliance's NPI number?

The NPI number for Brevard Health Alliance is 1558088070. It was assigned to this organization in the NPPES registry on October 25, 2022. The provider is doing business as Heritage Park.

Q: What is Brevard Health Alliance's specialty?

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

Active since October 25, 2022

2550 GRANT ST STE 137, MELBOURNE, FL 32901(321) 334-6940(321) 334-6912 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brevard Health Alliance NPPES

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

BREVARD HEALTH ALLIANCE (NPI 1558088070), doing business as Heritage Park, is a healthcare organization registered as a general practice in Melbourne, Florida and active in the NPI registry since October 2022. The organization lists Angela Craig, Director Of Billing, as its authorized official.

NPPES Registry Identity

NPI1558088070

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameBREVARD HEALTH ALLIANCE

Location Address2550 GRANT ST STE 137Melbourne, FL 32901-6006

Mailing AddressPo Box 1137Melbourne, FL 32902-1137 · (321) 952-9696 · Fax (321) 952-7937

Phone(321) 334-6940

Fax(321) 334-6912

Organization SubpartNo

Authorized OfficialAngela CraigDirector Of Billing · (321) 698-3446

Enumeration DateOctober 25, 2022

NPPES CertifiedOctober 25, 2022

✔ NPI 1558088070 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

2550 GRANT ST STE 137, Melbourne, FL 32901

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Other Names 1

Doing Business AsHeritage Park

Other Identifiers 1

Medicaid688693129FL

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

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

LYNN SPRUNGER APRN

Nurse Practitioner (Family)

2550 GRANT ST STE 137
MELBOURNE, FL 32901

Brevard County (321) 241-6800

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's NPI number?

The NPI number for Brevard Health Alliance is 1558088070. It was assigned to this organization in the NPPES registry on October 25, 2022. The provider is doing business as Heritage Park.

Where is Brevard Health Alliance located?

Brevard Health Alliance is located at 2550 Grant St Ste 137, Melbourne, FL 32901. The listed phone number is (321) 334-6940.

What is Brevard Health Alliance's specialty?

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

When was this NPI record last updated?

The NPPES record for Brevard Health Alliance was last updated on October 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.