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EPIPHANY DERMATOLOGY PA
NPI 1386025104
Dermatology in Brownwood, TX

Active since June 17, 2015CLIA 45D2098645 · Certificate of Compliance
2504 CROCKETT DR, BROWNWOOD, TX 76801(325) 646-2929(325) 641-0122 Get Directions Write a Review

NPPES record last updated: September 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Epiphany Dermatology Pa NPPES

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

EPIPHANY DERMATOLOGY PA (NPI 1386025104) is a healthcare organization registered as a dermatology in Brownwood, Texas and active in the NPI registry since June 2015. The organization holds a CLIA Certificate of Compliance certificate valid through August 29, 2027 and lists Gheorghe Pusta, Administrator, as its authorized official.

NPPES Registry Identity

NPI1386025104
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBROWNWOOD DERMATOLOGY PLLC
Location Address2504 CROCKETT DRBrownwood, TX 76801-5900
Mailing Address6601 Vaught Ranch Rd Ste 200Austin, TX 78730-2309 · (512) 628-0465 · Fax (512) 628-0468
Phone(325) 646-2929
Fax(325) 641-0122
Organization SubpartNo
Authorized OfficialGheorghe PustaAdministrator · (512) 960-5760
Enumeration DateJune 17, 2015
Last NPPES UpdateSeptember 23, 2016
✔ NPI 1386025104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in TX · Q1815
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2504 CROCKETT DR, Brownwood, TX 76801
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Other Names 1

Doing Business AsEpiphany Dermatology Pa

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

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 45D2098645

Epiphany Dermatology, PA · Brownwood, TX
Active · expires Aug 29, 2027
CLIA Number45D2098645
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2025
Certificate Expiration DateAugust 29, 2027
Laboratory DirectorAlyn Hatter
Laboratory Phone(325) 646-2929
Laboratory LocationEpiphany Dermatology, PA4100 Hwy 377, Brownwood, TX 76801
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TERRY VINCENT PURSLEY M.D.
Dermatology
2504 CROCKETT DR
BROWNWOOD, TX 76801
Brown County (325) 646-2929
TERRY V PURSLEY MD
Dermatology
2504 CROCKETT DR
BROWNWOOD, TX 76801
Brown County (325) 646-2929

Frequently 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 Brownwood Dermatology PLLC's NPI number?

The NPI number for Brownwood Dermatology PLLC is 1386025104. It was assigned to this organization in the NPPES registry on June 17, 2015. The provider is doing business as Epiphany Dermatology PA.

Where is Brownwood Dermatology PLLC located?

Brownwood Dermatology PLLC is located at 2504 Crockett Dr, Brownwood, TX 76801. The listed phone number is (325) 646-2929.

What is Brownwood Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Brownwood Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D2098645) is associated with this NPI, valid through August 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brownwood Dermatology PLLC was last updated on September 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.