Brevard Family Walk in Clinic LLC
NPI 1134146046ActiveOrganization· Family Medicine· Rockledge, FL
Family Medicine in Rockledge, Florida, registered in NPPES in July 2006. The authorized official on file is Jasen Scott Kobobel, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134146046 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 16, 2006 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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