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RIVER REGION DERMATOLOGY AND LASER INC
NPI 1699128009
Dermatology in Montgomery, AL

Active since July 20, 2016
2060 BERRYHILL RD, MONTGOMERY, AL 36117(334) 416-8996(334) 416-8997 Get Directions Write a Review

NPPES record last updated: July 28, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About River Region Dermatology And Laser Inc NPPES

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

RIVER REGION DERMATOLOGY AND LASER INC (NPI 1699128009) is a healthcare organization registered as a dermatology in Montgomery, Alabama and active in the NPI registry since July 2016. The organization lists Porcia Love, Sole Member Owner, as its authorized official.

NPPES Registry Identity

NPI1699128009
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameRIVER REGION DERMATOLOGY AND LASER INC
Location Address2060 BERRYHILL RDMontgomery, AL 36117-8965
Mailing Address1254 Laurel Brook LnMontgomery, AL 36117-8965 · (334) 416-8996 · Fax (334) 416-8997
Phone(334) 416-8996
Fax(334) 416-8997
Organization SubpartNo
Authorized OfficialPorcia LoveSole Member Owner · (334) 416-8996
Enumeration DateJuly 20, 2016
Last NPPES UpdateJuly 28, 2016
✔ NPI 1699128009 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.
2060 BERRYHILL RD, Montgomery, AL 36117
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

River Region Dermatology And Laser Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to River Region Dermatology And Laser Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Jurwardolyn Shuford-Guice, CRNP
Nurse Practitioner
NPI 1114244456
2060 BERRYHILL RD
Montgomery, AL 36117
(334) 676-3366
✔ PECOS✔ Accepts MedicareSame address
Rebecca Holtsford, MSN, CRNP, FNP-C
Nurse Practitioner
NPI 1205584893
2060 BERRYHILL RD
Montgomery, AL 36117
(334) 676-3366
✔ PECOS✔ Accepts MedicareSame address
Porcia Love, MD
Dermatology
NPI 1326195124
4712 BERRY BLVD
Montgomery, AL 36106
(334) 834-3094
✔ PECOS✔ Accepts Medicare3.6 mi
Amanda Trowbridge Brooke, CRNP
Nurse Practitioner
NPI 1932658606
1722 PINE ST STE 408
Montgomery, AL 36106
(334) 834-3093
✔ PECOS7.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 River Region Dermatology And Laser Inc's NPI number?

The NPI number for River Region Dermatology And Laser Inc is 1699128009. It was assigned to this organization in the NPPES registry on July 20, 2016.

Where is River Region Dermatology And Laser Inc located?

River Region Dermatology And Laser Inc is located at 2060 Berryhill Rd, Montgomery, AL 36117. The listed phone number is (334) 416-8996.

What is River Region Dermatology And Laser Inc's specialty?

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

Is River Region Dermatology And Laser Inc enrolled in Medicare?

Yes. River Region Dermatology And Laser Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through River Region Dermatology And Laser Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to River Region Dermatology And Laser Inc. 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 Nurse Practitioner (3) and Dermatology (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for River Region Dermatology And Laser Inc was last updated on July 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.