PEDIATRICS IN BREVARD, P.A.
NPI 1619968245
Pediatrics in Melbourne, FL

Active since November 02, 2005CLIA 10D0936835 · Certificate of Compliance
1755 W HIBISCUS BLVD, MELBOURNE, FL 32901(321) 724-5437(321) 724-5570 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2021, Aug 22, 2020 (2 updates tracked since 2020).

About Pediatrics In Brevard, P.a. NPPES

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

PEDIATRICS IN BREVARD, P.A. (NPI 1619968245) is a healthcare organization registered as a pediatrics in Melbourne, Florida and active in the NPI registry since November 2005. The organization holds a CLIA Certificate of Compliance certificate valid through February 18, 2028 and lists Melissa Loiselle, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1619968245
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRICS IN BREVARD, P.A.
Location Address1755 W HIBISCUS BLVDMelbourne, FL 32901-2616
Mailing Address1755 W Hibiscus BlvdMelbourne, FL 32901-2616 · (321) 724-5437 · Fax (321) 724-5570
Fax(321) 724-5570
Organization SubpartNo
Authorized OfficialMelissa LoiselleCredentialing Coordinator · (321) 877-4438
Enumeration DateNovember 2, 2005
Last NPPES UpdateJuly 13, 20212 updates tracked since enumeration
NPPES CertifiedJuly 13, 2021
NPI 1619968245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1755 W HIBISCUS BLVD, Melbourne, FL 32901

Other Identifiers 1

Medicaid253255701FL

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

Accepted Insurance

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 Compliance 10D0936835

Pediatrics In Brevard PA · Melbourne, FL
Active · expires Feb 18, 2028
CLIA Number10D0936835
Laboratory TypePhysician Office
Certificate Effective DateFebruary 19, 2026
Certificate Expiration DateFebruary 18, 2028
Laboratory DirectorJohn C. Kennedy
Laboratory Phone(321) 724-5437
Laboratory LocationPediatrics In Brevard PA1755 W Hibiscus Blvd, Melbourne, FL 32901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 13

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

Pediatrics
1755 W HIBISCUS BLVD
MELBOURNE, FL 32901
Pediatrics
1755 W HIBISCUS BLVD
MELBOURNE, FL 32901
Nurse Practitioner (Pediatrics)
1755 W HIBISCUS BLVD
MELBOURNE, FL 32901
Nurse Practitioner (Pediatrics)
1755 W HIBISCUS BLVD
MELBOURNE, FL 32901
Nurse Practitioner (Pediatrics)
1755 W HIBISCUS BLVD
MELBOURNE, FL 32901
Pediatrics
1755 W HIBISCUS BLVD
MELBOURNE, FL 32901
Nurse Practitioner (Pediatrics)
1755 W HIBISCUS BLVD
MELBOURNE, FL 32901
Pediatrics
1755 W HIBISCUS BLVD
MELBOURNE, FL 32901

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 Pediatrics In Brevard, P.A.'s NPI number?

The NPI number for Pediatrics In Brevard, P.A. is 1619968245. It was assigned to this organization in the NPPES registry on November 2, 2005.

Where is Pediatrics In Brevard, P.A. located?

Pediatrics In Brevard, P.A. is located at 1755 W Hibiscus Blvd, Melbourne, FL 32901. The listed phone number is (321) 724-5437.

What is Pediatrics In Brevard, P.A.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pediatrics In Brevard, P.A. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D0936835) is associated with this NPI, valid through February 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pediatrics In Brevard, P.A. accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Pediatrics In Brevard, P.A. 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 Pediatrics In Brevard, P.A. was last updated on July 13, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.