Brevard Pathology PA
Brevard Pathology PA is a healthcare organization registered as Anatomic Pathology & Clinical Pathology Physician in Melbourne, FL, holding Type 2 (organization) NPI 1710270095 since 2011. The authorized official on file is Marco Burenko, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1710270095 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Brevard Pathology PA |
| Practice address | 8745 N WICKHAM RD, Melbourne, FL, 32940 |
| Phone | 3056662427 |
| Fax | 3056670239 |
| Enumeration date | 2011-05-19 |
| Last updated in NPPES | 2011-05-19 |
Authorized official
| Name | Marco Burenko |
|---|---|
| Title | President |
| Phone | 3056662427 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | Primary | ME 51687 | FL |
Copy-ready billing details
Provider: Brevard Pathology PA NPI: 1710270095 Taxonomy: 207ZP0102X (Anatomic Pathology & Clinical Pathology Physician) Address: 8745 N WICKHAM RD, Melbourne, FL, 32940
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1790781870 | Steven Bentley | Individual | Critical Care Medicine (Internal Medicine) Physician | Melbourne, FL |
| 1184673014 | Doris Purvis | Individual | Hospitalist Physician | Melbourne, FL |
| 1881604726 | Melody King | Individual | Hospitalist Physician | Melbourne, FL |
| 1578674248 | James Mazalewski | Individual | Diagnostic Radiology Physician | Melbourne, FL |
| 1861550964 | Jill Polet | Individual | Adult Health Nurse Practitioner | Melbourne, FL |
| 1720203854 | Pierre Leroux | Individual | Hospitalist Physician | Melbourne, FL |
| 1235313149 | Jeffrey Gulick | Individual | Hospitalist Physician | Melbourne, FL |
| 1053649566 | Stephanie Prada | Individual | Hospitalist Physician | Melbourne, FL |
Verify this record
Cross-check NPI 1710270095 against the authoritative CMS record: view Brevard Pathology 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
How current is this record?
Where is Brevard Pathology PA located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-05-19.