NPI 1992064406 · live from the CMS NPI Registry
Matthew Edward Brice, D.O.
Radiology, Diagnostic Radiology in Melbourne, FL. National Provider Identifier 1992064406, active.
NPI record
| NPI | 1992064406 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1800 W Hibiscus Blvd Ste 100, Melbourne, FL 32901 |
| Practice phone | 321-726-3800 |
| Mailing address | 650 Joel Dr, Fort Campbell, KY 42223 |
| Enumerated | May 4, 2012 |
| Last updated | December 17, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice | 208D00000X | 1070 (NE) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | OS15923 (FL) |
| Radiology, Diagnostic Radiology | 2085R0202X | 1070 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.