Concierge Dermatology Management, LLC
NPI 1134615206ActiveOrganization· Dermatology· Fort Worth, TX
Dermatology in Fort Worth, Texas, registered in NPPES in July 2018. The authorized official on file is Brittany Pope, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1134615206 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 2, 2018 |
| Last updated in NPPES | Oct 24, 2025 |
| Certified by provider | Oct 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | K0518 | TX |
| Registered Nurse, Wound Care | 163WW0000X | — | — |
| Dermatology, MOHS-Micrographic Surgery | 207ND0101X | K0518 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (TX) |
|---|
Other Dermatology providers in Fort Worth
- 1245687987
- 1629565544
- 1306228432
- 1396500989
- 1811533805
- 1043341480
- 1427415314
- 1134426794
- 1437550613
- 1447702964
- 1962848531
- 1154857159