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

Brevard Orthopaedic Spine and Pain Clinic, Inc

Organization Orthopaedic Surgery Physician · NPI 1245523620

Brevard Orthopaedic Spine and Pain Clinic, Inc is an Orthopaedic Surgery Physician in Port St John, Florida. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

7227 N US Highway 1
Port St John, FL 32927-5020
Phone: (321) 723-7716
Fax: (321) 723-0604
Show map & directions

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

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X
Orthopaedic Surgery Physician Taxonomy 207X00000X

Record details

NPI number1245523620
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationBrevard Orthopaedic Spine & Pain Clinic, Inc
Authorized official Katrina Lopez — Credentialing · (321) 541-1537
Other names The Back Center; The Back Center
NPI enumeratedMay 18, 2011
Last updated in NPPESJuly 15, 2021
Certification dateJuly 15, 2021
Mailing address2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5594

Other providers in Port St John