Concierge Dermatology Management, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

K0518 Issued in TX

Legal business name

CONCIERGE DERMATOLOGY MANAGEMENT, LLC

Practice address

7100 Oakmont Blvd Ste 101
Fort Worth, TX 76132-3908

Phone

(817) 205-3075

Fax

(817) 641-3355

NPI assigned

Jul 2, 2018

Last updated

Oct 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brittany Pope

Title

Manager

Phone

(817) 781-3550

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BFDGBD

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jean Elizze Mabute Charles, D.O.

  • Dermatology Physician
  • Georgetown, TX
  • NPI 1376075507
  Medicare reassignment NPD
• Peter J Malouf, D.O.

  • Dermatology Physician
  • Fort Worth, TX
  • NPI 1225047012

  Wound Care

  Medicare reassignment NPD
• Cassandra Layne Kenny, PA-C

  • Physician Assistant
  • Granbury, TX
  • NPI 1386181048
  Medicare reassignment
• Erik Jon Furman, M.D.

  • Family Medicine Physician
  • Cleburne, TX
  • NPI 1861401168
  NPD (past)

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1134615206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323908",
            "telephone_number": "817-205-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323908",
            "telephone_number": "817-205-3075",
            "fax_number": "817-641-3355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 N Ridgeway Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Cleburne",
            "state": "TX",
            "postal_code": "760335130",
            "country_code": "US",
            "telephone_number": "817-205-3075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONCIERGE DERMATOLOGY MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-781-3550"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "K0518",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TX",
            "license": "K0518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Concentra Health Services, Inc.
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• Concentra Health Services, Inc.
• Luzminda B Concepcion, MD
• Concergix, LLC
• Zarahi Conde Garcia, RBT
• Mitchell Allen Conditt, DDS
• Linda Jean Cone, LCSW
• Confi-Dental PA
• Kiante Vaughn Conger, LMSW

• Dermatology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.