Waterside Dermatology PLLC
NPI 1639856297 · Dermatology Physician · Bradenton, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Waterside Dermatology PLLC is a Dermatology Physician organization in Bradenton, FL (NPI 1639856297).
Provider details
- NPI number
- 1639856297
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Erfon Ekhlassi, Owner and Physician(941) 748-3376
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-07-05
- Last updated
- 2025-03-05
- Certified
- 2025-03-05
Frequently asked questions
- What is Waterside Dermatology PLLC's NPI number?
- Waterside Dermatology PLLC's National Provider Identifier (NPI) is 1639856297, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waterside Dermatology PLLC?
- Waterside Dermatology PLLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Waterside Dermatology PLLC located?
- Waterside Dermatology PLLC's practice location on file with NPPES is 300 Riverside Dr E Ste 2200, Bradenton, FL 34208-1023.
- What is Waterside Dermatology PLLC's phone number?
- The practice phone number listed in the NPPES registry for Waterside Dermatology PLLC is (941) 748-3376.
- Does Waterside Dermatology PLLC accept Medicare?
- Waterside Dermatology PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Waterside Dermatology PLLC?
- The authorized official listed on Waterside Dermatology PLLC's NPPES record is Erfon Ekhlassi, Owner and Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waterside Dermatology PLLC's NPI active?
- Yes — Waterside Dermatology PLLC's NPI (1639856297) is active in the NPPES registry as of the last update on 2025-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.