IVAN BRANDON TANNER
NPI 1831044106
Physician Assistant in Melbourne, FL
About Ivan Brandon Tanner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IVAN BRANDON TANNER (NPI 1831044106) is an individual physician assistant in Melbourne, Florida, licensed in Florida (PA9121206) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ivan Brandon Tanner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32935 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Ivan Tanner's NPI number?
The NPI number for Ivan Tanner is 1831044106. It was assigned to this individual provider in the NPPES registry on March 3, 2026.
Where is Ivan Tanner located?
Ivan Tanner practices at 2100 N Wickham Rd, Melbourne, FL 32935. The listed phone number is (321) 752-7100.
What is Ivan Tanner's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Ivan Tanner enrolled in Medicare?
Yes. Ivan Tanner is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Ivan Tanner was last updated on March 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.
