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

Ryan Shepherd

Individual provider Anesthesiologist Assistant · NPI 1689351223

Ryan Shepherd is an Anesthesiology Assistant in Melbourne, Florida. Qualified in 2023, 3 years ago. Practices with Brevard Physician Associates PLLC, a 219-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2023

Practice location Address checks out

1775 W Hibiscus Blvd Ste 215
Melbourne, FL 32901-2627
Phone: (321) 837-3820
Show map & directions

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

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X

Record details

NPI number1689351223
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 4, 2023
Last updated in NPPESJuly 4, 2023
Certification dateJune 30, 2023
Mailing address4499 Us Highway 1, Rockledge, FL 32955-5409

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Brevard Physician Associates Pllc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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