Brevard Universal Clinical Services, LLC
NPI 1902644644ActiveOrganization· General Practice· Melbourne, FL
General Practice in Melbourne, Florida, registered in NPPES in July 2024. The authorized official on file is Andrew George Grossman, Md/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902644644 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 17, 2024 |
| Last updated in NPPES | Dec 4, 2024 |
| Certified by provider | Dec 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
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) |
|---|
Other general practitioners in Melbourne
- 1568431419
- 1033456959
- 1033823356
- 1063548287
- 1083180434
- 1134371933
- 1215718424
- 1275008716
- 1356883771
- 1457032294
- 1558088070
- 1558836361
All 23 general practitioners in Melbourne · All general practitioners in Florida