BROWARD DERMATOLOGY AND COSMETIC SPECIALISTS
NPI 1063760502
Dermatology in Ft Lauderdale, FL
About Broward Dermatology And Cosmetic Specialists NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BROWARD DERMATOLOGY AND COSMETIC SPECIALISTS (NPI 1063760502) is a healthcare organization registered as a dermatology in Ft Lauderdale, Florida and active in the NPI registry since August 2012. The organization holds a CLIA Certificate of Compliance certificate valid through May 5, 2027 and lists Jerome R Obed, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Broward Dermatology And Cosmetic Specialists is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Broward Dermatology And Cosmetic Specialists, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Fort Lauderdale, FL 33316
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 10D2056081
Jerome R Obed Do PA · Fort Lauderdale, FLFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jerome R Obed D.O.,p.A.'s NPI number?
The NPI number for Jerome R Obed D.O.,p.A. is 1063760502. It was assigned to this organization in the NPPES registry on August 15, 2012. The provider is doing business as Broward Dermatology And Cosmetic Specialists.
Where is Jerome R Obed D.O.,p.A. located?
Jerome R Obed D.O.,p.A. is located at 500 SE 15th St Suite 108, Ft Lauderdale, FL 33316. The listed phone number is (954) 990-6591.
What is Jerome R Obed D.O.,p.A.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Jerome R Obed D.O.,p.A. enrolled in Medicare?
Yes. Jerome R Obed D.O.,p.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jerome R Obed D.O.,p.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jerome R Obed D.O.,p.A., in Dermatology and Family Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Jerome R Obed D.O.,p.A. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 10D2056081) is associated with this NPI, valid through May 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Jerome R Obed D.O.,p.A. accept?
Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) list Jerome R Obed D.O.,p.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jerome R Obed D.O.,p.A. was last updated on May 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Broward Dermatology And Cosmetic Specialists · NPI 1063760502
Dermatology organization in Ft Lauderdale, Florida. Organization record, active in the CMS NPPES registry since August 15, 2012.
## Identity
- **NPI:** 1063760502 (Entity type: Organization)
- **Enumerated:** August 15, 2012
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Legal business name:** Jerome R Obed D.o.,p.a.
- **Organization subpart:** No
- **Authorized official:** Jerome Obed, PRESIDENT
## Practice location
- **Address:** 500 SE 15TH ST, SUITE 108, Ft Lauderdale, FL 33316-1952
- **Phone:** (954) 990-6591
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (1), Family Practice (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2014
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063760502) · Data from the CMS NPPES public registry.