Brevard Medical Dermatology, PA
NPI 1649676669 · Dermatology Physician · Melbourne, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brevard Medical Dermatology, PA is a Dermatology Physician organization in Melbourne, FL (NPI 1649676669).
Provider details
- NPI number
- 1649676669
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Spicer, President(321) 428-4737
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
- 2014-11-18
- Last updated
- 2020-02-21
- Certified
- 2020-02-21
Frequently asked questions
- What is Brevard Medical Dermatology, PA's NPI number?
- Brevard Medical Dermatology, PA's National Provider Identifier (NPI) is 1649676669, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brevard Medical Dermatology, PA?
- Brevard Medical Dermatology, PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Brevard Medical Dermatology, PA located?
- Brevard Medical Dermatology, PA's practice location on file with NPPES is 7960 N. Wickham Road, Melbourne, FL 32940-8096.
- What is Brevard Medical Dermatology, PA's phone number?
- The practice phone number listed in the NPPES registry for Brevard Medical Dermatology, PA is (321) 428-4737.
- Does Brevard Medical Dermatology, PA accept Medicare?
- Brevard Medical Dermatology, PA 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 Brevard Medical Dermatology, PA?
- The authorized official listed on Brevard Medical Dermatology, PA's NPPES record is Michael Spicer, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brevard Medical Dermatology, PA's NPI active?
- Yes — Brevard Medical Dermatology, PA's NPI (1649676669) is active in the NPPES registry as of the last update on 2020-02-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.