Brevard Orthopaedics Spine & Pain Clinic, Inc
NPI 1164716676 · Radiologic Technologist · Melbourne, FL
Provider details
- NPI number
- 1164716676
- Entity type
- Organization
- Primary specialty
- Radiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
- Parent organization
- Brevard Orthopaedic Spine & Pain Clinic, Inc
- Organization subpart
- Yes
- Authorized official
- Katrina Lopez, Credentialing(321) 541-1537
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
- Orthopaedic Surgery Physician207X00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Technologists, Technicians & Other Technical Service Providers
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
- 2011-06-01
- Last updated
- 2021-07-15
- Certified
- 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.