Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Brevard Orthopaedic Spine and Pain Clinic, Inc

Pain Medicine (Physical Medicine & Rehabilitation) Physician in Merritt Island, FL · enumerated 2011 · authorized official Katrina Lopez, Credentialing.

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

National Provider Identifier

1124311501

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Registry record

Entity type Organization (Type 2)

Legal business name Brevard Orthopaedic Spine and Pain Clinic, Inc

Other name <Unavail>

Parent organization Brevard Orthopaedic Spine and Pain Clinic, Inc

Practice address 650 S Courtenay Pkwy, Suite 100, Merritt Island, FL, 32952

Phone (321) 723-7716

Fax (321) 723-0604

Enumeration date May 18, 2011

Last updated in NPPES Jul 15, 2021

Taxonomy & classification

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary

2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Katrina Lopez

Title Credentialing

Phone (321) 541-1537

Other identifiers

Identifier	Type	State	Issuer
99949	Other	FL	MEDICARE
040225700	Medicaid	FL	-

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

Who is the authorized official for Brevard Orthopaedic Spine and Pain Clinic, Inc?

NPPES lists Katrina Lopez (Credentialing) as the authorized official for this organization.

What is the NPI number for Brevard Orthopaedic Spine and Pain Clinic, Inc?

The NPI for Brevard Orthopaedic Spine and Pain Clinic, Inc is 1124311501, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Jeffrey Obrien Orthopaedic Surgery Physician · Merritt Island, FL NPI 1487627758 Robert Ville Orthopedic Chiropractor · Merritt Island, FL NPI 1811964414 Jeffrey T Obrien MD Inc Orthopaedic Surgery Physician · Merritt Island, FL NPI 1174553838 Shane Hernesman Family Medicine Physician · Merritt Island, FL NPI 1952412652 Katherine Mattern Physician Assistant · Merritt Island, FL NPI 1417148743 Jeffrey T Obrien MD Inc Durable Medical Equipment & Medical Supplies · Merritt Island, FL NPI 1619146321 G Leonard Gioia MD PA Specialist · Merritt Island, FL NPI 1952566689

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-07-15.