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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.

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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?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-05-19. Verify at npiregistry.cms.hhs.gov.
Where is Brevard Pathology PA located?
The practice location on file with NPPES is in Melbourne, FL.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2011-05-19.