| Brevard Neurology Associates Pa | |
|
1910 Rockledge Blvd Unit 101 Rockledge FL 32955 | |
| (321) 636-8366 | |
| (321) 636-3985 |
| Full Name | Brevard Neurology Associates Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1910 Rockledge Blvd, Rockledge, Florida |
| Authorized Official Name and Position | Wasim Niazi (CORPORATE OFFICE) |
| Authorized Official Contact | 3216368366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brevard Neurology Associates Pa 1910 Rockledge Blvd Unit 101 Rockledge FL 32955 Ph: (321) 636-8366 | Brevard Neurology Associates Pa 1910 Rockledge Blvd Unit 101 Rockledge FL 32955 Ph: (321) 636-8366 |
| NPI Number | 1194704544 |
|---|---|
| Provider Enumeration Date | 01/13/2006 |
| Last Update Date | 04/12/2013 |
| Medicare PECOS PAC ID | 1052419918 |
|---|---|
| Medicare Enrollment ID | O20070531000349 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194704544 | NPI | - | NPPES |
| 0500148 | Other | FL | UNITED |
| 377423600 | Medicaid | FL | |
| 5395693 | Other | FL | AETNA GRP |
| 26705 | Other | FL | 26705 |
| 45249 | Other | FL | BC BS GRP |
| 4657556 | Other | FL | AETNA |
| 130016629 | Other | FL | MEDICARE RR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | ME58732 (Florida) | Primary |
| Provider Name | Mohammad Wasim Niazi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215911433 PECOS PAC ID: 6305942848 Enrollment ID: I20070430000678 |
Internal Medicine Of Brevard, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1978 Rockledge Blvd, Ste 108, Rockledge, FL 32955 Phone: 321-631-0392 Fax: 321-631-5787 | |
Oscar H Jerkins, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Orange Ave, Rockledge, FL 32955 Phone: 888-974-5556 | |
George Idiculla Md,pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1029 Florida Ave S, Rockledge, FL 32955 Phone: 321-638-0888 | |
Francis A Ashie Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1007 Beverly Dr, Suite C, Rockledge, FL 32955 Phone: 321-636-1834 Fax: 321-636-1694 | |
Mental Health Resource Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Barton Blvd Ste 7, Rockledge, FL 32955 Phone: 321-504-3888 Fax: 321-504-3462 | |
Endo Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5460 Village Drive,viera, Rockledge, FL 32955 Phone: 972-821-1253 | |
Vs Primo Health Care P A Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 840 Executive Ln Ste 110, Rockledge, FL 32955 Phone: 321-751-7113 Fax: 321-751-7114 |