OrganizationActive
Brevard Health Alliance Inc
NPI 1104549484 · Federally Qualified Health Center (FQHC) · Cocoa, FL
Provider details
- NPI number
- 1104549484
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Angela Craig, Director of Billing(321) 698-3446
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
905 Pineda St
Cocoa, FL 32922-6370
Phone: (321) 241-6800
Fax: (321) 241-6888
Street-level locationGet directions
Mailing address
Po Box 1137
Melbourne, FL 32902-1137
Other names (DBA / former)
- Doing business as
- Brevard Health Alliance
- Doing business as
- Brevard Health Alliance
Registry dates
- Enumerated
- 2022-09-22
- Last updated
- 2022-12-19
- Certified
- 2022-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.