Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588233902 Individual Practitioner Female Practitioner

Breeanna Bacchus Davis , PA-C

Physician Assistant • Rockledge, FL

Professional Overview & Biography Verified Profile Summary

Breeanna Davis, PA-C is a registered healthcare professional specializing in Physician Assistant in Rockledge, FL. Practice services are available at 220 BARTON BLVD UNIT C-14 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

220 Barton Blvd Unit C-14

Rockledge, FL 329552742

Telephone 3212416800
Fax 3212416890
Associated Practice Facility / Clinic
🏢 Brevard Health Alliance Inc Facility NPI 1285111732

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Rockledge, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.2 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
18 Specialists

Practicing in Rockledge, FL (10376 Statewide)

Telehealth Adoption Rate
5.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-03
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9114561

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
111974100 (FL)
Commercial Insurance / Payer ID Fl Medical License
PA9114561 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013347277

Doctor of Psychology (Psy.D.)

Christy Powell , APRN

Nurse Practitioner - Family

NPI 1013481050

Advanced Practice Registered Nurse

Dr. Lindsay Rule , DMD

Dentist - General Practice

NPI 1033471255

Doctor of Dental Medicine

Jessica Regan , PA

Physician Assistant

NPI 1033592597

Physician Assistant

Vimari De La Cruz , ARNP, FNP-C

Nurse Practitioner - Family

NPI 1033795760

Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Certified)

Meagan Sumner , PA-C

Physician Assistant

NPI 1043084254

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2022

Physician Assistant (License #PA9114561 in FL)

👤
Provider Name / Credentials Updated March 01, 2022

Recorded as BREEANNA DAVIS, PA-C

📍
Updated Practice Location October 05, 2021

Registered at 220 BARTON BLVD UNIT C-14, ROCKLEDGE, FL 329552742 (Tel: 3216395177)

📍
Updated Business Mailing Address October 05, 2021

Registered at PO BOX 1137, MELBOURNE, FL 329021137 (Tel: 3219529696)

NPI Profile Active June 21, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2021

Registered at 1344 HAMPSHIRE PLACE CIR, ALTAMONTE SPRINGS, FL 327141251 (Tel: 3219458526)

📍
Updated Business Mailing Address June 21, 2021

Registered at 2752 SNAPDRAGON DR NW, PALM BAY, FL 329077224

👤
Provider Name / Credentials Updated June 21, 2021

Recorded as BREEANNA BACCHUS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2021

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 21, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588233902
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2021
Last Update: August 03, 2023
Sole Proprietor: No

Mailing Address

Po Box 1137

Melbourne, FL 329021137

Phone: 3219529696

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.