BREVARD UNIVERSAL CLINICAL SERVICES, LLC
NPI 1902644644
General Practice in Melbourne, FL
About Brevard Universal Clinical Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BREVARD UNIVERSAL CLINICAL SERVICES, LLC (NPI 1902644644) is a healthcare organization registered as a general practice in Melbourne, Florida and active in the NPI registry since July 2024. The organization lists Andrew George Grossman, Md/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Brevard Universal Clinical Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Brevard Universal Clinical Services, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Indian Harbour Beach, FL 32937
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Universal Clinical Services, LLC's NPI number?
The NPI number for Brevard Universal Clinical Services, LLC is 1902644644. It was assigned to this organization in the NPPES registry on July 17, 2024.
Where is Brevard Universal Clinical Services, LLC located?
Brevard Universal Clinical Services, LLC is located at 1385 Cypress Ave Unit 107, Melbourne, FL 32935. The listed phone number is (973) 886-0045.
What is Brevard Universal Clinical Services, LLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Brevard Universal Clinical Services, LLC enrolled in Medicare?
Yes. Brevard Universal Clinical Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Brevard Universal Clinical Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Brevard Universal Clinical Services, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Brevard Universal Clinical Services, LLC was last updated on December 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Brevard Universal Clinical Services, Llc · NPI 1902644644
General Practice organization in Melbourne, Florida. Organization record, active in the CMS NPPES registry since July 17, 2024.
## Identity
- **NPI:** 1902644644 (Entity type: Organization)
- **Enumerated:** July 17, 2024
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Andrew Grossman, MD/OWNER
## Practice location
- **Address:** 1385 CYPRESS AVE UNIT 107, Melbourne, FL 32935-5919
- **Phone:** (973) 886-0045
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Emergency Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1902644644) · Data from the CMS NPPES public registry.