Brilliant Dermatology and Aesthetics, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

BRILLIANT DERMATOLOGY AND AESTHETICS, PLLC

Practice address

5162 Linton Blvd
Suite 203
Delray Beach, FL 33484-6567

Phone

(561) 877-3376

NPI assigned

Mar 10, 2017

Organization subpart

No

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

Authorized official

Name

Elissa Norton, MDNPI 1538302195

Title

Owner

Phone

(561) 877-3376

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elissa S Norton, MD

  • Dermatology Physician
  • Delray Beach, FL
  • NPI 1538302195
  Medicare reassignment Care Compare group NPD Authorized official
• Christina Nicole Proulx, PA-C

  • Medical Physician Assistant
  • Delray Beach, FL
  • NPI 1538754973
  Medicare reassignment Care Compare group
• Soraya Breda, PA-C

  • Physician Assistant
  • Delray Beach, FL
  • NPI 1174556260
  Medicare reassignment
• Erika L Luceri, PA-C

  • Physician Assistant
  • Boca Raton, FL
  • NPI 1366629297
  Medicare reassignment

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1174064158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5162 LINTON BLVD",
            "address_2": "SUITE 203",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846567",
            "telephone_number": "561-877-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5162 LINTON BLVD",
            "address_2": "SUITE 203",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846567",
            "telephone_number": "561-877-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT DERMATOLOGY AND AESTHETICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-10",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "ELISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-877-3376",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Delray Beach, FL
• Providers in Delray Beach, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.