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

Brevard Primary Care LLC

Organization Internal Medicine Physician · NPI 1376958462

Brevard Primary Care LLC is an Internal Medicine Physician in Melbourne, Florida. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
2
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

2328 Citadel Way Ste 103-319
Melbourne, FL 32940-6459
Phone: (321) 757-1900
Fax: (866) 376-2481
Show map & directions

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

Specialties & licences

Infectious Disease Physician (primary) Taxonomy 207RI0200X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1376958462
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bhavani Puskur — Practice Owner · (321) 948-8555
NPI enumeratedJune 26, 2014
Last updated in NPPESNovember 15, 2024
Certification dateNovember 15, 2024
Mailing address2328 Citadel Way Ste 103-319, Melbourne, FL 32940-6459

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