Provider Demographics
NPI:1336950831
Name:BREVARD RHEUMATOLOGY & ARTHRITIS CENTER
Entity type:Organization
Organization Name:BREVARD RHEUMATOLOGY & ARTHRITIS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VARINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:KUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-917-9991
Mailing Address - Street 1:2940 TRASONA DR
Mailing Address - Street 2:
Mailing Address - City:VIERA
Mailing Address - State:FL
Mailing Address - Zip Code:32940-7686
Mailing Address - Country:US
Mailing Address - Phone:321-850-2850
Mailing Address - Fax:321-850-2852
Practice Address - Street 1:2955 PINEDA PLAZA WAY STE 107
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-7306
Practice Address - Country:US
Practice Address - Phone:321-850-2850
Practice Address - Fax:321-850-2852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty