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

Dr. Mark Raymond Hanley, MD

Individual provider Surgery Physician · NPI 1063487676

Dr. Mark Raymond Hanley, MD is a General Surgery in Melbourne, Florida. Graduated from Medical College of Ohio in 1997, 29 years ago. Practices with Medical Associates of Brevard LLC, a 75-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
29
Trained at
Medical College of Ohio
Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1305 Valentine St
Melbourne, FL 32901-3127
Phone: (321) 254-7717
Fax: (321) 428-4526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME86470 (FL)

Record details

NPI number1063487676
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 18, 2006
Last updated in NPPESJuly 25, 2022
Certification dateJuly 25, 2022

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolMEDICAL COLLEGE OF OHIO
Graduated 1997 (29 years in practice)
Group practice Medical Associates Of Brevard Llc — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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