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

Q: 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.

Q: 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.

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: October 18, 2026.

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bw Dermatology Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bw Dermatology PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Andrew Kelsey, MD

Dermatology

NPI 1649664731

1078 W MAIN ST
Waterbury, CT 06708

(203) 757-1585

✔ PECOS✔ Accepts Medicare1,016 mi

Jenna Bordelon, MD

Dermatology

NPI 1215383740

21 SOUTH RD
Farmington, CT 06032

(860) 679-4600

✔ PECOS✔ Accepts Medicare1,032 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 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.

Is Bw Dermatology PLLC enrolled in Medicare?

Yes. Bw Dermatology PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bw Dermatology PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Bw Dermatology PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 5 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.