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BREVARD INTERNAL MEDICINE & WALK-IN CLINIC
NPI 1710216262
Clinic/Center - Primary Care in W Melbourne, FL

Active since December 11, 2009CLIA 10D2003646 · Waiver
2795 W NEW HAVEN AVE, W MELBOURNE, FL 32904(321) 622-8626(321) 622-8627 Get Directions Write a Review

NPPES record last updated: February 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brevard Internal Medicine & Walk-in Clinic NPPES

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

BREVARD INTERNAL MEDICINE & WALK-IN CLINIC (NPI 1710216262) is a healthcare organization registered as a primary care in W Melbourne, Florida and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through February 15, 2028 and lists Aravind Kumar, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1710216262
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBREVARD INTERNAL MEDICINE & WALK-IN CLINIC
Location Address2795 W NEW HAVEN AVEW Melbourne, FL 32904-3705
Mailing AddressPo Box 411685Melbourne, FL 32941-1685 · (321) 622-8626 · Fax (321) 622-8627
Phone(321) 622-8626
Fax(321) 622-8627
Organization SubpartNo
Authorized OfficialAravind KumarSole Owner · (321) 622-8626
Enumeration DateDecember 11, 2009
Last NPPES UpdateFebruary 7, 2014
✔ NPI 1710216262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Licenses✔ Licensed in FL · ME97764✔ Licensed in FL · ARNP 2107012
2795 W NEW HAVEN AVE, W Melbourne, FL 32904
Open in Google Maps ↗

Other Identifiers 2

Medicare PINAD979ZFL
Medicare UPINI07145NY

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).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 Waiver 10D2003646

Brevard Internal Medicine And Walk In Clinic · West Melbourne, FL
Active · expires Feb 15, 2028
CLIA Number10D2003646
Laboratory TypePhysician Office
Certificate Effective DateFebruary 16, 2026
Certificate Expiration DateFebruary 15, 2028
Laboratory DirectorAravind K. Kumar
Laboratory Phone(321) 622-8626
Laboratory LocationBrevard Internal Medicine And Walk In Clinic2795 W New Haven Ave, West Melbourne, FL 32904
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

CARE SPINE AND SPORTS HEALTH PLLC
Physical Medicine & Rehabilitation
2795 W NEW HAVEN AVE
WEST MELBOURNE, FL 32904
Brevard County (321) 622-8626
BREVARD URGENT CARE PLLC
Clinic/Center (Urgent Care)
2795 W NEW HAVEN AVE
W MELBOURNE, FL 32904
Brevard County (321) 676-8732
DR. RAJASRI P KRISHNAMURTHY M.D.
Internal Medicine
2795 W NEW HAVEN AVE
WEST MELBOURNE, FL 32904
Brevard County (321) 622-8626
JEAN GUY-YOMA SOUFFRANT MD
Pain Medicine (Pain Medicine)
2795 W NEW HAVEN AVE
WEST MELBOURNE, FL 32904
Brevard County (321) 372-1765
MS. DANNIELLE LORAIN O'HARE ARNP
Nurse Practitioner (Family)
2795 W NEW HAVEN AVE
WEST MELBOURNE, FL 32904
Brevard County (321) 622-8626
SOUFFRANTMD REHABMED CONSULTANTS PA
Physical Medicine & Rehabilitation (Pain Medicine)
2795 W NEW HAVEN AVE
WEST MELBOURNE, FL 32904
Brevard County (321) 622-8626
ARAVIND K KUMAR MD
Internal Medicine
2795 W NEW HAVEN AVE
WEST MELBOURNE, FL 32904
Brevard County (321) 622-8626

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 Internal Medicine & Walk-In Clinic's NPI number?

The NPI number for Brevard Internal Medicine & Walk-In Clinic is 1710216262. It was assigned to this organization in the NPPES registry on December 11, 2009.

Where is Brevard Internal Medicine & Walk-In Clinic located?

Brevard Internal Medicine & Walk-In Clinic is located at 2795 W New Haven Ave, W Melbourne, FL 32904. The listed phone number is (321) 622-8626.

What is Brevard Internal Medicine & Walk-In Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Brevard Internal Medicine & Walk-In Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2003646) is associated with this NPI, valid through February 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Brevard Internal Medicine & Walk-In Clinic accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Brevard Internal Medicine & Walk-In Clinic 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 Brevard Internal Medicine & Walk-In Clinic was last updated on February 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.