Skip to content

Brevard County Orthopedic & Spine Associates LLC

NPI 1588101604ActiveOrganization· Specialist· Melbourne, FL

Specialist in Melbourne, Florida, registered in NPPES in January 2017. The authorized official on file is Jeneane Wakula, Office Manager.

Overview

NPI1588101604
StatusActive
Entity typeOrganization
NPI issuedJan 26, 2017
Last updated in NPPESJan 26, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Specialist Primary174400000XOS12542FL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Specialist providers in Melbourne

All Specialist providers in Florida →