PEDIATRIC HEALTH & WELLNESS OF BREVARD, PA
NPI 1629880711
Clinic/Center - Primary Care in Melbourne, FL
About Pediatric Health & Wellness Of Brevard, Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEDIATRIC HEALTH & WELLNESS OF BREVARD, PA (NPI 1629880711) is a healthcare organization registered as a primary care in Melbourne, Florida and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through March 17, 2027 and lists Kimberly M Martin, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 Waiver 10D2320381
Pediatric Health & Wellness Of Brevard, PA · Melbourne, FLOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MELBOURNE, FL 32935
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 Pediatric Health & Wellness Of Brevard, PA's NPI number?
The NPI number for Pediatric Health & Wellness Of Brevard, PA is 1629880711. It was assigned to this organization in the NPPES registry on January 24, 2025.
Where is Pediatric Health & Wellness Of Brevard, PA located?
Pediatric Health & Wellness Of Brevard, PA is located at 3000 N Wickham Rd Ste 5, Melbourne, FL 32935. The listed phone number is (321) 652-2381.
What is Pediatric Health & Wellness Of Brevard, PA's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Pediatric Health & Wellness Of Brevard, PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2320381) is associated with this NPI, valid through March 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Pediatric Health & Wellness Of Brevard, PA was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Pediatric Health & Wellness Of Brevard, Pa · NPI 1629880711
Primary Care organization in Melbourne, Florida. Organization record, active in the CMS NPPES registry since January 24, 2025.
## Identity
- **NPI:** 1629880711 (Entity type: Organization)
- **Enumerated:** January 24, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Kimberly Martin, PRESIDENT
## Practice location
- **Address:** 3000 N WICKHAM RD STE 5, Melbourne, FL 32935-2330
- **Phone:** (321) 652-2381
## Record status
- **NPPES last updated:** January 24, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629880711) · Data from the CMS NPPES public registry.