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PEDIATRICS IN BREVARD, P.A.
NPI 1629069240
Pediatrics in Rockledge, FL

Active since November 02, 2005CLIA Certified · 2 labs
1018 FLORIDA AVE S STE A, ROCKLEDGE, FL 32955(321) 636-3066(321) 636-2545 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2025, Jul 13, 2021, Dec 21, 2020 and 2 more (5 updates tracked since 2018).

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 1629069240) is a healthcare organization registered as a pediatrics in Rockledge, Florida and active in the NPI registry since November 2005. The organization holds 2 active CLIA laboratory certificates, maintains 5 additional practice locations, and lists Melissa Loiselle, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1629069240
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRICS IN BREVARD, P.A.
Location Address1018 FLORIDA AVE S STE ARockledge, FL 32955-2142
Mailing Address134 S Woods DrRockledge, FL 32955-3262 · (321) 636-3066 · Fax (321) 636-2545
Phone(321) 636-3066
Fax(321) 636-2545
Organization SubpartNo
Authorized OfficialMelissa LoiselleCredentialing Coordinator · (321) 877-4438
Enumeration DateNovember 2, 2005
Last NPPES UpdateFebruary 6, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
✔ NPI 1629069240 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.
1018 FLORIDA AVE S STE A, Rockledge, FL 32955
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Secondary Practice Locations 5

Location 18057 Spyglass Hill Rd Ste 102Melbourne, FL 32940-8565 · Phone (321) 435-9800
Location 21755 W Hibiscus BlvdMelbourne, FL 32901-2616 · Phone (321) 724-5437 · Fax (321) 724-5570
Location 31220 N Highway A1A Ste 147Indialantic, FL 32903-2858 · Phone (321) 951-9087 · Fax (321) 327-3266
Location 4255 N Sykes Creek Pkwy Ste 104Merritt Island, FL 32953-3518 · Phone (321) 784-5437 · Fax (321) 799-1231
Location 55200 Babcock St NE Ste 108Palm Bay, FL 32905-4639 · Phone (321) 327-8773 · Fax (321) 327-8792

Other Identifiers 4

Medicaid253255705FL
Medicaid253255700FL
Medicaid253255701FL
Medicaid253555703FL

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

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), Wellpoint.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 10D2267514

Pediatrics In Brevard PA · Palm Bay, FL
Active · expires Jul 9, 2027
CLIA Number10D2267514
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorJohn C. Kennedy
Laboratory Phone(321) 327-8773
Laboratory LocationPediatrics In Brevard PA5200 Babcock St NE Ste 108, Palm Bay, FL 32905
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.

Certificate of Waiver 10D2313113

Pediatrics In Brevard · Indialantic, FL
Active · expires Oct 23, 2026
CLIA Number10D2313113
Laboratory TypePhysician Office
Certificate Effective DateOctober 24, 2024
Certificate Expiration DateOctober 23, 2026
Laboratory DirectorJohn C. Kennedy
Laboratory Phone(321) 951-9087
Laboratory LocationPediatrics In Brevard1220 N Highway A1a Ste 147, Indialantic, FL 32903
CLIA data matches this NPI record on: Address 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 Pediatrics In Brevard, P.A.'s NPI number?

The NPI number for Pediatrics In Brevard, P.A. is 1629069240. 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 1018 Florida Ave S Ste A, Rockledge, FL 32955. The listed phone number is (321) 636-3066.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

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

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint 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 February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.