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

Brevard Orthopaedics Spine & Pain Clinic, Inc

Organization Orthopaedic Surgery Physician · NPI 1164716676

Brevard Orthopaedics Spine & Pain Clinic, Inc is an Orthopaedic Surgery Physician in Melbourne, Florida. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
5
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2222 S Harbor City Blvd Ste 510
Melbourne, FL 32901-5594
Phone: (321) 723-7716
Fax: (321) 723-0604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiologic Technologist (primary) Taxonomy 247100000X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Pain Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081P2900X
Magnetic Resonance Imaging Radiologic Technologist Taxonomy 2471M1202X

Record details

NPI number1164716676
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 enumeratedJune 1, 2011
Last updated in NPPESJuly 15, 2021
Certification dateJuly 15, 2021
Mailing address2222 S Harbor City Blvd, Suite 610, Melbourne, FL 32901-5594

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