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BREVARD MEDICAL DERMATOLOGY, PA
NPI 1649676669
Dermatology in Melbourne, FL

Active since November 18, 2014
7960 N. WICKHAM ROAD, SUITE 103, MELBOURNE, FL 32940(321) 428-4737(321) 241-6457 Get Directions Write a Review

NPPES record last updated: February 21, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Brevard Medical Dermatology, Pa NPPES

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

BREVARD MEDICAL DERMATOLOGY, PA (NPI 1649676669) is a healthcare organization registered as a dermatology in Melbourne, Florida and active in the NPI registry since November 2014. The organization lists Michael Spicer, President, as its authorized official.

NPPES Registry Identity

NPI1649676669
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBREVARD MEDICAL DERMATOLOGY, PA
Location Address7960 N. WICKHAM ROAD, SUITE 103Melbourne, FL 32940-8096
Mailing Address7960 N. Wickham Road, Suite 103Melbourne, FL 32940-8096 · (321) 428-4737 · Fax (321) 241-6457
Phone(321) 428-4737
Fax(321) 241-6457
Organization SubpartNo
Authorized OfficialMichael SpicerPresident · (321) 428-4737
Enumeration DateNovember 18, 2014
Last NPPES UpdateFebruary 21, 2020
✔ NPI 1649676669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
7960 N. WICKHAM ROAD, Melbourne, FL 32940
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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)

Brevard Medical Dermatology, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Brevard Medical Dermatology, PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nadine Acri, MD
Dermatology
NPI 1306835681
7960 N WICKHAM RD STE 103
Melbourne, FL 32940
(321) 428-4737
✔ PECOS✔ Accepts MedicareSame address
Michael Spicer, MD
Dermatology
NPI 1831176858
7960 N WICKHAM RD STE 103
Viera, FL 32940
(321) 428-4737
✔ PECOS✔ Accepts Medicare0.1 mi
Alexandra Grammenos, DO
Dermatology
NPI 1477059590
2305 VIDINA DR STE 102
Melbourne, FL 32940
(321) 441-8332
✔ PECOS✔ Accepts Medicare1.4 mi
Jennifer North
Nurse Practitioner
NPI 1205103884
2120 SARNO RD
Melbourne, FL 32935
(321) 241-6800
✔ PECOS✔ Accepts Medicare8.1 mi
Christina Asch, ARNP BC
Nurse Practitioner
NPI 1225014384
4401 S HOPKINS AVE STE 103
Titusville, FL 32780
(321) 268-4767
✔ PECOS✔ Accepts Medicare23 mi
Rodolfo Chirinos, MD
Dermatology
NPI 1255535431
4340 SHERIDAN STREET S. 101
Hollywood, FL 33021
(954) 983-5533
✔ PECOS✔ Accepts Medicare155 mi

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 Waiver 10D2120401

Brevard Medical Dermatology PA · Melbourne, FL
Expired · Oct 16, 2026
CLIA Number10D2120401
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2024
Certificate Expiration DateOctober 16, 2026
Laboratory DirectorMichael S. Spicer
Laboratory Phone(321) 428-4737
Laboratory LocationBrevard Medical Dermatology PA7960 N Wickham Road Suite 103, Melbourne, FL 32940
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Brevard Medical Dermatology, PA's NPI number?

The NPI number for Brevard Medical Dermatology, PA is 1649676669. It was assigned to this organization in the NPPES registry on November 18, 2014.

Where is Brevard Medical Dermatology, PA located?

Brevard Medical Dermatology, PA is located at 7960 N. Wickham Road Suite 103, Melbourne, FL 32940. The listed phone number is (321) 428-4737.

What is Brevard Medical Dermatology, PA's specialty?

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

Is Brevard Medical Dermatology, PA enrolled in Medicare?

Yes. Brevard Medical Dermatology, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brevard Medical Dermatology, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Brevard Medical Dermatology, PA. 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. The largest specialties are Dermatology (4) and Nurse Practitioner (2). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Brevard Medical Dermatology, PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Brevard Medical Dermatology, PA 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 Brevard Medical Dermatology, PA was last updated on February 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.