Fort Worth Dermatology Center, PLLC
NPI 1245687987ActiveOrganization· Dermatology· Fort Worth, TX
Dermatology in Fort Worth, Texas, registered in NPPES in May 2016. The authorized official on file is Bryan Jerry Carroll, MD, Physician, Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1245687987 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 23, 2016 |
| Last updated in NPPES | May 23, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | Q6500 | 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) |
|---|
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