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MELVILLE CLAY O'BRIEN
NPI 1801590641
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since March 27, 2023PECOS Enrolled
653 W 8TH ST # L18, JACKSONVILLE, FL 32209(904) 244-3094 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Melville Clay O'brien NPPES

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

MELVILLE CLAY O'BRIEN (NPI 1801590641) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801590641
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMELVILLE CLAY O'BRIEN
Location Address653 W 8TH ST # L18Jacksonville, FL 32209-6511
Mailing Address653 W 8th St # L18Jacksonville, FL 32209-6511
Phone(904) 244-3094
Sole ProprietorNo
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 27, 2023
✔ NPI 1801590641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
653 W 8TH ST # L18, Jacksonville, FL 32209
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melville Clay O'brien is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

TANYA DEOL
Student in an Organized Health Care Education/Training Program
653 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (904) 244-3094
TIANNA SASHER DO
Internal Medicine
653 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (904) 244-3091
JACOB THERIAULT DO
Student in an Organized Health Care Education/Training Program
653 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (904) 244-3094
MATTHEW MOENCH MD
Psychiatry & Neurology (Neurology)
653 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (727) 217-5609
CHRISTOPHER JAMES MIKULAS
Student in an Organized Health Care Education/Training Program
653 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (904) 244-3094
GABRIEL KAI MORALES DO
Student in an Organized Health Care Education/Training Program
653 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (904) 244-3091
DR. SAMANTHA ISERN MD
Student in an Organized Health Care Education/Training Program
653 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (904) 244-3094
ANVIT DANDU REDDY DO
Student in an Organized Health Care Education/Training Program
653 W 8TH ST # L18
JACKSONVILLE, FL 32209
Duval County (904) 244-3094

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 Melville O'brien's NPI number?

The NPI number for Melville O'brien is 1801590641. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Melville O'brien located?

Melville O'brien practices at 653 W 8th St # L18, Jacksonville, FL 32209. The listed phone number is (904) 244-3094.

What is Melville O'brien's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Melville O'brien enrolled in Medicare?

Yes. Melville O'brien is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melville O'brien was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.