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

Brandon Smith

Individual provider Family Nurse Practitioner · NPI 1356974588

Brandon Smith is a Nurse Practitioner in Melbourne, Florida. Qualified in 2020, 6 years ago. Practices with Srinivas Dontineni, MD, PA, a 7-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4251 Stack Blvd
Melbourne, FL 32901-8526
Phone: (321) 506-4686
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11106435 (FL)

Record details

NPI number1356974588
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 17, 2020
Last updated in NPPESMarch 6, 2020
Certification dateMarch 6, 2020
Mailing address3890 Sage Brush Cir, Melbourne, FL 32901-8209

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Srinivas Dontineni, Md, Pa — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Melbourne