Brevard Wellness Clinc 1 LLC
NPI 1043633795 · Internal Medicine Physician · Palm Bay, FL
Brevard Wellness Clinc 1 LLC is a Internal Medicine Physician organization in Palm Bay, FL (NPI 1043633795).
Provider details
- NPI number
- 1043633795
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Srinivas Dontineni, President(321) 751-9506
- License
- ME88036 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-01-31
- Last updated
- 2014-01-31
Frequently asked questions
- What is Brevard Wellness Clinc 1 LLC's NPI number?
- Brevard Wellness Clinc 1 LLC's National Provider Identifier (NPI) is 1043633795, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brevard Wellness Clinc 1 LLC?
- Brevard Wellness Clinc 1 LLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Brevard Wellness Clinc 1 LLC located?
- Brevard Wellness Clinc 1 LLC's practice location on file with NPPES is 1264 Malabar Rd Se, Palm Bay, FL 32907-2556.
- What is Brevard Wellness Clinc 1 LLC's phone number?
- The practice phone number listed in the NPPES registry for Brevard Wellness Clinc 1 LLC is (321) 751-9506.
- Who is the authorized official for Brevard Wellness Clinc 1 LLC?
- The authorized official listed on Brevard Wellness Clinc 1 LLC's NPPES record is Srinivas Dontineni, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brevard Wellness Clinc 1 LLC's NPI active?
- Yes — Brevard Wellness Clinc 1 LLC's NPI (1043633795) is active in the NPPES registry as of the last update on 2014-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.