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North Brevard Medical Support, Inc

Family Medicine Physician in Port St John, FL · enumerated 2021 · authorized official Kent Bailey, Vp Finance.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1033883764

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Registry record

Entity type Organization (Type 2)
Legal business name North Brevard Medical Support, Inc
Practice address 5005 Port St John Pkwy Ste 2500, Port St John, FL, 32927
Phone (321) 504-0556
Fax (321) 504-0773
Enumeration date Aug 5, 2021
Last updated in NPPES Aug 5, 2021

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Kent Bailey
Title Vp Finance
Phone (321) 268-6111

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is North Brevard Medical Support, Inc located?
The practice location on file with NPPES is in Port St John, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-08-05. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-05.