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

Mr. Michael Patrick Grenon III

Individual provider Anesthesiologist Assistant · NPI 1174412332

Mr. Michael Patrick Grenon III is an Anesthesiology Assistant in Melbourne, Florida. Qualified in 2025, 1 year ago. Practices with Brevard Physician Associates PLLC, a 219-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1350 S Hickory St
Melbourne, FL 32901
Phone: (321) 434-7145
Fax: (321) 434-1656
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

Anesthesiologist Assistant (primary) Taxonomy 367H00000X

Record details

NPI number1174412332
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 1, 2025
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025
Mailing address112 Sea Breeze Cir, Merritt Island, FL 32953-2947

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Brevard Physician Associates Pllc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Melbourne