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

Mr. Brian Robert Hackett, PA-C

Individual provider Physician Assistant · NPI 1184904179

Mr. Brian Robert Hackett, PA-C is a Physician Assistant in Melbourne, Florida. Qualified in 2011, 15 years ago. Practices with Restore Spine LLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
15
Licensed in
FL
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

240 N Wickham Rd Ste 104
Melbourne, FL 32935-8663
Phone: (321) 541-1777
Fax: (321) 541-1786
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1350 Hickory St, Melbourne, FL 32901-3224 — (321) 434-3455

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9106102 (FL)
Physician Assistant Taxonomy 363A00000X · Licence PA9106102 (FL)

Record details

NPI number1184904179
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 22, 2011
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025
Mailing address240 N Wickham Rd Ste 104, Melbourne, FL 32935-8663

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Restore Spine Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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