Individual provider Active NPI

Jeremy Brandon Freedman, M.D.

  • Dermatology Physician
  • Jupiter, FL
National Provider Identifier
1073172789
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME167740 Issued in FL
Practice address
4601 Military TRL Ste 203
Jupiter, FL 33458-4835
Phone
(813) 321-1786
Fax
(813) 321-1787
NPI assigned
Jun 7, 2019
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME167740 FL Primary
MOHS-Micrographic Surgery Physician 207ND0101X ME167740 FL

Addresses

Primary practice location

4601 Military TRL Ste 203
Jupiter, FL 33458-4835

Mailing address

18228 N US Highway 41
Lutz, FL 33549-4400
Phone (813) 321-1786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240718003282 FL Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 8224365093 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suncoast Skin SolutionsGroup PAC ID 7416018221, 102 clinicians

Practice addresses (Care Compare)

1160 96TH St
Suite 403
Bay Harbor Islands, FL 33154-2059
Phone (305) 519-0581

4601 Military TRL
Suite 203
Jupiter, FL 33458-4835
Phone (813) 321-1786

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision36
Removal of tissue1-10
Removal of skin lesions24
Removal of skin cancer556
Removal or shaving of skin growth1-10
Skin biopsy15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME167740FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Skin Solutions Dermatology CurrentSince Jul 1, 2024 Accepting new patients
Jeremy B. Freedman M.D., P.a. Mohs-Micrographic Surgery CurrentSince May 30, 2025 Accepting new patients
Douglas K Pierce MD PA Past Accepting new patients

Locations

1160 Kane Concourse
Ste 403
Bay Harbor Islands, FL 33154
Phone (305) 519-0581

4601 Military Trl
Ste 203
Jupiter, FL 33458
Phone (561) 775-6011

18228 N US Highway 41
Lutz, FL 33549

4651 Van Dyke Rd
Lutz, FL 33558
Phone (813) 321-1783

5825 US 27 N
Sebring, FL 33870
Phone (863) 314-0001

11200 Seminole Blvd
Ste 205
Seminole, FL 33778
Phone (727) 820-1786

Interoperability endpoints

  • Direct secure messaging: jeremy.freedman@suncoastskin.emadirect.md

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1073172789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18228 N US HIGHWAY 41",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335494400",
            "telephone_number": "813-321-1786",
            "fax_number": "813-321-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 MILITARY TRL STE 203",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334584835",
            "telephone_number": "813-321-1786",
            "fax_number": "813-321-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDMAN",
        "first_name": "JEREMY",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-07",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME167740",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME167740",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

Verify at the official NPI Registry.