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North Brevard Medical Support, Inc

Sports Medicine Podiatrist 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

1316611049

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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 2100, Port St John, FL, 32927
Fax (321) 635-9310
Enumeration date Aug 5, 2021
Last updated in NPPES Aug 5, 2021

Taxonomy & classification

213ES0000X Sports Medicine Podiatrist Podiatric Medicine & Surgery Service Providers Primary

Authorized official

Name Kent Bailey
Title Vp Finance

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

What type of organization is North Brevard Medical Support, Inc?
North Brevard Medical Support, Inc is registered in NPPES as a Sports Medicine Podiatrist (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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