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BW DERMATOLOGY PLLC
NPI 1831026004
Dermatology - MOHS-Micrographic Surgery in Melbourne, FL

Active since May 04, 2026
2339 MEDICO LN STE 101, MELBOURNE, FL 32940(321) 406-8615 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bw Dermatology Pllc NPPES

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

BW DERMATOLOGY PLLC (NPI 1831026004), doing business as Bluewater Dermatology, is a healthcare organization registered as a mohs-micrographic surgery in Melbourne, Florida and active in the NPI registry since May 2026. The organization lists Andrew Kelsey, Ceo, as its authorized official.

NPPES Registry Identity

NPI1831026004
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameBW DERMATOLOGY PLLC
Location Address2339 MEDICO LN STE 101Melbourne, FL 32940-8946
Mailing Address2339 Medico Ln Ste 101Melbourne, FL 32940-8946 · (321) 406-8615
Phone(321) 406-8615
Organization SubpartNo
Authorized OfficialAndrew KelseyCeo · (321) 406-8615
Enumeration DateMay 4, 2026
NPPES CertifiedMay 4, 2026
✔ NPI 1831026004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
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.
Also ListedDermatologyTaxonomy 207N00000X
2339 MEDICO LN STE 101, Melbourne, FL 32940
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Other Names 1

Doing Business AsBluewater Dermatology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Bw Dermatology PLLC's NPI number?

The NPI number for Bw Dermatology PLLC is 1831026004. It was assigned to this organization in the NPPES registry on May 4, 2026. The provider is doing business as Bluewater Dermatology.

Where is Bw Dermatology PLLC located?

Bw Dermatology PLLC is located at 2339 Medico Ln Ste 101, Melbourne, FL 32940. The listed phone number is (321) 406-8615.

What is Bw Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

When was this NPI record last updated?

The NPPES record for Bw Dermatology PLLC was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.