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

North Brevard Medical Support, Inc

Organization Urology Physician · NPI 1417621152

North Brevard Medical Support, Inc is an Urology Physician in Titusville, 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

825 Century Medical Dr Ste B
Titusville, FL 32796-2113
Phone: (321) 268-6216
Fax: (321) 268-6895
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1417621152
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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