OrganizationActive
North Brevard Medical Support, Inc
NPI 1619644762 · Critical Care Medicine (Internal Medicine) Physician · Titusville, FL
Provider details
- NPI number
- 1619644762
- Entity type
- Organization
- Primary specialty
- Critical Care Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kent Bailey, Vp Finance(321) 268-6111
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Urology Physician208800000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
951 N Washington Ave
Titusville, FL 32796-2163
Phone: (321) 268-6795
Fax: (321) 268-6360
Street-level locationGet directions
Mailing address
805 Century Medical Dr Ste C
Titusville, FL 32796-2100
Registry dates
- Enumerated
- 2021-08-26
- Last updated
- 2021-08-26
- Certified
- 2021-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.