Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brevard Geriatrics, LLC

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1225682784

Brevard Geriatrics, LLC is a Geriatric Medicine (Family Medicine) Physician in Melbourne, Florida. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

720 E New Haven Ave Ste 11
Melbourne, FL 32901-5474
Phone: (321) 724-4545
Fax: (321) 728-4168
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X

Record details

NPI number1225682784
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Potomski — Owner · (321) 446-5893
NPI enumeratedAugust 1, 2019
Last updated in NPPESAugust 1, 2019
Mailing address720 E New Haven Ave Suite 11, Melbourne, FL 32901-5474

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