KENT P ELLERBROEK MD PC
NPI 1346403755
Dermatology - MOHS-Micrographic Surgery in Waterloo, IA

Active since July 07, 2008
541 KING DR, WATERLOO, IA 50702(319) 235-6323(319) 235-0249 Get Directions Write a Review

NPPES record last updated: October 14, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kent P Ellerbroek Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENT P ELLERBROEK MD PC (NPI 1346403755) is a healthcare organization registered as a mohs-micrographic surgery in Waterloo, Iowa and active in the NPI registry since July 2008. The organization lists Kent P Ellerbroek, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1346403755
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameKENT P ELLERBROEK MD PC
Location Address541 KING DRWaterloo, IA 50702-5959
Mailing Address541 King DrWaterloo, IA 50702-5959 · (319) 235-6323 · Fax (319) 235-0249
Fax(319) 235-0249
Organization SubpartNo
Authorized OfficialKent P EllerbroekMedical Doctor · (319) 235-6323
Enumeration DateJuly 7, 2008
Last NPPES UpdateOctober 14, 2008
NPI 1346403755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in IA · 202213
Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

541 KING DR, Waterloo, IA 50702

Other Identifiers 2

Medicare PINDN2700IA
Medicare PIN16980IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dermatology
541 KING DR
WATERLOO, IA 50702
Chiropractor
541 KING DR
WATERLOO, IA 50702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346403755, enumerated as an "organization" on July 07, 2008.

The provider is located at 541 KING DR WATERLOO, IA 50702 and the phone number is (319) 235-6323.

Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.