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BREVARD HEALTH ALLIANCE
NPI 1619026218
Clinic/Center - Federally Qualified Health Center (FQHC) in Melbourne, FL

Active since January 10, 2007
17 SILVER PALM AVE, MELBOURNE, FL 32901(321) 733-2021(321) 727-0884 Get Directions Write a Review

NPPES record last updated: August 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brevard Health Alliance NPPES

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

BREVARD HEALTH ALLIANCE (NPI 1619026218) is a healthcare organization registered as a federally qualified health center (fqhc) in Melbourne, Florida and active in the NPI registry since January 2007. The organization lists Angela Craig, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1619026218
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameBREVARD HEALTH ALLIANCE
Location Address17 SILVER PALM AVEMelbourne, FL 32901-3123
Mailing AddressPo Box 1137Melbourne, FL 32902-1137 · (321) 952-9696 · Fax (321) 952-7937
Phone(321) 733-2021
Fax(321) 727-0884
Organization SubpartNo
Authorized OfficialAngela CraigBusiness Office Manager · (321) 241-6834
Enumeration DateJanuary 10, 2007
Last NPPES UpdateAugust 17, 2016
✔ NPI 1619026218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
17 SILVER PALM AVE, Melbourne, FL 32901
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Other Identifiers 2

Medicaid6886931-03FL
Medicare ID-Type Unspecified10-1977

Other Providers at the Same Location NPPES 6

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

CHANDRA MANGRA MD
Family Medicine
17 SILVER PALM AVE
MELBOURNE, FL 32901
Brevard County (321) 733-2021
BREVARD HEALTH ALLIANCE, INC.
Pharmacy (Community/Retail Pharmacy)
17 SILVER PALM AVE
MELBOURNE, FL 32901
Brevard County (321) 241-6800
BREVARD HEALTH ALLIANCE INC
Clinic/Center (Federally Qualified Health Center (FQHC))
17 SILVER PALM AVE
MELBOURNE, FL 32901
Brevard County (321) 733-2021
LYNETTE M GRAFF MD
Family Medicine
17 SILVER PALM AVE
MELBOURNE, FL 32901
Brevard County (321) 733-2021
AVA WEBER MA
Student in an Organized Health Care Education/Training Program
17 SILVER PALM AVE
MELBOURNE, FL 32901
Brevard County (321) 241-6800
MR. KINARD COOPER APRN
Nurse Practitioner (Family)
17 SILVER PALM AVE
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 1619026218. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Brevard Health Alliance located?

Brevard Health Alliance is located at 17 Silver Palm Ave, Melbourne, FL 32901. The listed phone number is (321) 733-2021.

What is Brevard Health Alliance's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Brevard Health Alliance was last updated on August 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.