Brevard Orthopaedic Spine and Pain Clinic, Inc
NPI 1124311501ActiveOrganization· Physical Medicine & Rehabilitation, Pain Medicine· Merritt Island, FL
Physical Medicine & Rehabilitation, Pain Medicine in Merritt Island, Florida, registered in NPPES in May 2011, part of Brevard Orthopaedic Spine and Pain Clinic, Inc. The authorized official on file is Katrina Lopez, Credentialing.
Overview
| NPI | 1124311501 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Brevard Orthopaedic Spine and Pain Clinic, Inc |
| NPI issued | May 18, 2011 |
| Last updated in NPPES | Jul 15, 2021 |
| Certified by provider | Jul 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation, Pain Medicine Primary | 2081P2900X | — | — |
| Orthopaedic Surgery | 207X00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Medicine & Rehabilitation, Pain Medicine providers in Merritt Island
- 1518135888
All Physical Medicine & Rehabilitation, Pain Medicine providers in Florida →