Derek Lee Eisnor MD PA
Derek Lee Eisnor MD PA is a healthcare organization registered as Emergency Medical Services (Emergency Medicine) Physician in Melbourne, FL, holding Type 2 (organization) NPI 1508002544 since 2008. The authorized official on file is Derek Eisnor, Owner/President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508002544 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Derek Lee Eisnor MD PA |
| Practice address | 2080 W EAU GALLIE BLVD, Melbourne, FL, 32935 |
| Phone | 3212546218 |
| Fax | 3212546230 |
| Enumeration date | 2008-12-22 |
| Last updated in NPPES | 2008-12-22 |
Authorized official
| Name | Derek Eisnor |
|---|---|
| Title | Owner/President |
| Phone | 3212546218 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | Primary | ME74231 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255900500 | Medicaid | FL | — |
Copy-ready billing details
Provider: Derek Lee Eisnor MD PA NPI: 1508002544 Taxonomy: 207PE0004X (Emergency Medical Services (Emergency Medicine) Physician) Address: 2080 W EAU GALLIE BLVD, Melbourne, FL, 32935
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1144274358 | Space Coast Health Care Services | Organization | Internal Medicine Physician | Melbourne, FL |
| 1104870393 | Brevard Emergency Services | Organization | Internal Medicine Physician | Melbourne, FL |
| 1992735005 | Derek Eisnor | Individual | Emergency Medicine Physician | Melbourne, FL |
| 1790716371 | Bruce Burstein | Individual | Emergency Medicine Physician | Melbourne, FL |
| 1871604231 | Jacqueline Llinas | Individual | Emergency Medicine Physician | Melbourne, FL |
| 1063507887 | Vinay Mehindru | Individual | Emergency Medicine Physician | Melbourne, FL |
| 1114093804 | Peggy Frederique-Bell | Individual | Physician Assistant | Melbourne, FL |
| 1861568115 | Vicki Cooper | Individual | Physician Assistant | Melbourne, FL |
Verify this record
Cross-check NPI 1508002544 against the authoritative CMS record: view Derek Lee Eisnor MD PA on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Derek Lee Eisnor MD PA?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-12-22.