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

North Brevard Medical Support, Inc

Organization Obstetrics & Gynecology Physician · NPI 1295409928

North Brevard Medical Support, Inc is an Obstetrics & Gynecology Physician in Port St John, Florida. Registered with an NPI since 2021.

In the registry since
2021
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

5005 Port St John Pkwy Ste 2200
Port St John, FL 32927-4305
Phone: (321) 633-8663
Fax: (321) 633-8618
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1295409928
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kent Bailey — Vp Finance · (321) 268-6111
NPI enumeratedAugust 5, 2021
Last updated in NPPESAugust 5, 2021
Certification dateAugust 5, 2021
Mailing address805 Century Medical Dr Ste C, Titusville, FL 32796-2100

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