OrganizationActive
Brevard Health Alliance Inc
NPI 1073855797 · Federally Qualified Health Center (FQHC) · Indian Harbour Beach, FL
Provider details
- NPI number
- 1073855797
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Angela Craig, Business Office Manager(321) 952-9696
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
4000 N Riverside Dr
Indian Harbour Beach, FL 32937-4842
Phone: (321) 914-5557
Fax: (321) 434-1975
Street-level locationGet directions
Mailing address
Po Box 1137
Melbourne, FL 32902-1137
Other names (DBA / former)
- Other name
- Garden Street
Registry dates
- Enumerated
- 2013-03-20
- Last updated
- 2013-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.