Brevard Orthopaedic Spine and Pain Clinic, Inc
NPI 1124311501 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Merritt Island, FL
Brevard Orthopaedic Spine and Pain Clinic, Inc is a Pain Medicine (Physical Medicine & Rehabilitation) Physician organization in Merritt Island, FL (NPI 1124311501).
Provider details
- NPI number
- 1124311501
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Brevard Orthopaedic Spine and Pain Clinic, Inc
- Organization subpart
- Yes
- Authorized official
- Katrina Lopez, Credentialing(321) 541-1537
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Other names (DBA / former)
- Doing business as
- The Back Center
- Doing business as
- The Back Center
Registry dates
- Enumerated
- 2011-05-18
- Last updated
- 2021-07-15
- Certified
- 2021-07-15
Frequently asked questions
- What is Brevard Orthopaedic Spine and Pain Clinic, Inc's NPI number?
- Brevard Orthopaedic Spine and Pain Clinic, Inc's National Provider Identifier (NPI) is 1124311501, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brevard Orthopaedic Spine and Pain Clinic, Inc?
- Brevard Orthopaedic Spine and Pain Clinic, Inc is classified in the NPPES registry as Pain Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Brevard Orthopaedic Spine and Pain Clinic, Inc located?
- Brevard Orthopaedic Spine and Pain Clinic, Inc's practice location on file with NPPES is 650 S Courtenay Pkwy, Merritt Island, FL 32952-4977.
- What is Brevard Orthopaedic Spine and Pain Clinic, Inc's phone number?
- The practice phone number listed in the NPPES registry for Brevard Orthopaedic Spine and Pain Clinic, Inc is (321) 723-7716.
- Who is the authorized official for Brevard Orthopaedic Spine and Pain Clinic, Inc?
- The authorized official listed on Brevard Orthopaedic Spine and Pain Clinic, Inc's NPPES record is Katrina Lopez, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brevard Orthopaedic Spine and Pain Clinic, Inc's NPI active?
- Yes — Brevard Orthopaedic Spine and Pain Clinic, Inc's NPI (1124311501) is active in the NPPES registry as of the last update on 2021-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.