BREVARD HEALTH ALLIANCE
NPI 1528330826
Clinic/Center - Federally Qualified Health Center (FQHC) in Malabar, FL

NPI Status: Active since February 01, 2012

Contact Information

775 MALABAR RD
MALABAR, FL
ZIP 32950
Phone: (321) 722-8435
Fax: (321) 722-8486

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance
  • CLIA Number: 10D0874863
  • CLIA Cert. Type: Federally Qualified Health Center
  • CLIA Exp. Date: 02-27-2026

About BREVARD HEALTH ALLIANCE

This page provides the complete NPI Profile along with additional information for Brevard Health Alliance, a primary care provider established in Malabar, Florida operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1528330826 assigned on February 2012. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Angela Craig (Business Office Manager)

NPI
1528330826
Provider Name
BREVARD HEALTH ALLIANCE
Entity Type
Organization
Location Address
775 MALABAR RD MALABAR, FL 32950
Location Phone
(321) 722-8435
Location Fax
(321) 722-8486
Mailing Address
775 MALABAR RD MALABAR, FL 32950
Mailing Phone
(321) 722-8435
Mailing Fax
(321) 722-8486
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-01-2012
Last Update Date
02-01-2012
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A primary care provider (PCP) like Brevard Health Alliance sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 1826 ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access) - HMO
  • Bronze 1826 + Adult Dental + Adult Vision ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access) - HMO
  • Bronze Savings 1820 (Primary Care Copay Visits 1-5, Open Access) - HMO
  • Bronze Savings 1820 + Adult Dental + Adult Vision (Primary Care Copay Visits 1-5, Open Access) - HMO
  • Bronze Standard 1828 - HMO
  • Bronze Value 1814 (High Value Network Savings, Open Access) - HMO
  • Bronze Value 1814 + Adult Dental + Adult Vision (High Value Network Savings, Open Access) - HMO
  • Catastrophic 1746 (Primary Care Copay Visits 1-3, Open Access) - HMO
  • Gold 1742 (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) - HMO
  • Gold 1742 + Adult Dental + Adult Vision (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) - HMO
  • Gold Savings 1825 ($25 Primary Care Copay, $50 Specialist Copay, Open Access) - HMO
  • Gold Savings 1825 + Adult Dental + Adult Vision ($25 Primary Care Copay, $50 Specialist Copay, Open Access) - HMO
  • Gold Standard 1833 - HMO
  • Gold Value 1819 ($1,300 Tier 1 Medical Deductible, High Value Network Savings, Open Access) - HMO
  • Gold Value 1819 + Adult Dental + Adult Vision ($1,300 Tier 1 Medical Deductible, High Value Network Savings, Open Access) - HMO
  • Silver 1664 (Primary Care & Specialist Copays, Open Access) - HMO
  • Silver 1664 + Adult Dental + Adult Vision (Primary Care & Specialist Copays, Open Access) - HMO
  • Silver Savings 1821 (Primary Care Copay, Open Access) - HMO
  • Silver Savings 1821 + Adult Dental + Adult Vision (Primary Care Copay, Open Access) - HMO
  • Silver Standard 1829 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANGELA CRAIG

Authorized Official Title
BUSINESS OFFICE MANAGER
Authorized Official Phone
(321) 952-9696

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D0874863
Facility Type
Federally Qualified Health Center
Certificate Effective Date
February 29, 2024
Certificate Expiration Date
February 27, 2026
Laboratory Director
LAUREN MOAK
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Brevard Health Alliance in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for BREVARD HEALTH ALLIANCE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528330826
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
254863084
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 6 + 3 + 0 + 8 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1528330826 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891774899MRS. GERALDINE ANN HALSTEAD ARNP
Individual
Nurse Practitioner (Pediatrics)775 MALABAR RD
MALABAR, FL 32950
(321) 722-8435
1770731291PALM BAY PEDIATRICS
Organization
Pediatrics775 MALABAR RD
MALABAR, FL 32950
(321) 722-8435
1467735225DR. VANESSA HINCKSON M.D.
Individual
Pediatrics775 MALABAR RD
MALABAR, FL 32950
(321) 722-8435
1790056877BREVARD HEALTH ALLIANCE INC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))775 MALABAR RD
MALABAR, FL 32950
(321) 722-8435
1801289707 LEIGH ANNE POTTS ARNP
Individual
Nurse Practitioner (Pediatrics)775 MALABAR RD
MALABAR, FL 32950
(321) 722-8435
1124327234 CHRISTINE L JUSTICE ARNP
Individual
Nurse Practitioner (Family)775 MALABAR RD
MALABAR, FL 32950
(321) 722-8435
1326003096 DAVID H TODD DO
Individual
Family Medicine775 MALABAR RD
MALABAR, FL 32950
(321) 722-8435
1104880731 DASSY MAS MD
Individual
Pediatrics775 MALABAR RD
MALABAR, FL 32950
(321) 722-8435
1356853360 TRACY ZAPANTA ARNP
Individual
Nurse Practitioner (Family)775 MALABAR RD
MALABAR, FL 32950
(321) 722-8435
1518338839DR. LAKEECIA CANNION DNP, ARNP-C
Individual
Nurse Practitioner (Adult Health)775 MALABAR RD
MALABAR, FL 32950
(321) 722-8435
1346459435DR. STEPHANIE BLAZAK NAPOLI PSY.D.
Individual
Psychologist775 MALABAR RD
MALABAR, FL 32950
(321) 722-8435
1770289092MR. ALEJANDRO CIRILO LCSW
Individual
Social Worker (Clinical)775 MALABAR RD
MALABAR, FL 32950
(321) 733-0642
1891436010 JAKE TENEWITZ MD
Individual
Family Medicine775 MALABAR RD
MALABAR, FL 32950
(321) 241-6800
1457828832 AMANDA ROSE SLEDZ PA
Individual
Physician Assistant775 MALABAR RD
MALABAR, FL 32950
(321) 241-6800
1699487033 JAMIE CROSS LCSW
Individual
Social Worker (Clinical)775 MALABAR RD
MALABAR, FL 32950
(321) 241-6800
1245904689DR. TRISTAN CARTWRIGHT MD
Individual
Internal Medicine775 MALABAR RD
MALABAR, FL 32950
(321) 241-6800
1043084254 MEAGAN SUMNER PA-C
Individual
Physician Assistant775 MALABAR RD
MALABAR, FL 32950
(321) 241-6800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528330826, enumerated in the NPI registry as an "organization" on February 01, 2012

The provider is located at 775 Malabar Rd Malabar, Fl 32950 and the phone number is (321) 722-8435

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: Health First Commercial Plans, Inc.. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 10D0874863 for a "federally qualified health center" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..

This NPI record was last updated on February 01, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.