Individual provider Active NPI

Lise D Brown, D.O.

  • Dermatology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1306947163
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS9720 Issued in FL
Practice address
6550 N Federal Hwy Ste 320
Fort Lauderdale, FL 33308-1400
Phone
(954) 500-7546
Fax
(954) 491-0562
NPI assigned
Sep 26, 2006
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS9720 FL Primary

Addresses

Primary practice location

6550 N Federal Hwy Ste 320
Fort Lauderdale, FL 33308-1400

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Lise.Brown@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070621000601 FL Practitioner - Dermatology 0648379206 Reassigns benefits to 1 organization
I20230823004437 OK Practitioner - Dermatology 0648379206

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

6550 N Federal Hwy
Suite 320
Fort Lauderdale, FL 33308-1400
Phone (954) 500-7546

Merit-based Incentive Payment System (MIPS)

Final score
91 of 100Reported as group
Quality
86.79
Promoting interoperability
100
Improvement activities
40
Cost
76.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision21
Removal of skin lesions337
Removal or shaving of skin growth16
Skin biopsy196

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. Dermatology CurrentSince May 13, 2025 Accepting new patients
Forefront Dermatology, S.C. Dermatology Current Accepting new patients
Skin and Cancer Associates Dermatology CurrentSince Jun 15, 2021 Accepting new patients
Forefront Dermatology, S.C. Dermatology CurrentSince May 13, 2025 Accepting new patients
Synergy Dermatology LLC Dermatology Past Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients

Locations

6550 N Federal Hwy
Ste 320
Ft Lauderdale, FL 33308
Phone (954) 491-0510

2202 State Ave
Ste 102
Panama City, FL 32405
Phone (850) 250-5790

201 NW 82nd Ave
Ste 501
Plantation, FL 33324
Phone (954) 382-4720

261 N University Dr
Ste 720
Plantation, FL 33324
Phone (954) 473-6750

1560 Sawgrass Corporate Pkwy
Ste 220
Sunrise, FL 33323

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Bin 88617
Milwaukee, WI 53288

Interoperability endpoints

  • Direct secure messaging: lise.brown@forefrontdermatology.emadirect.md

Organizations & group practices 6

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1306947163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 N FEDERAL HWY STE 320",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081400",
            "telephone_number": "954-500-7546",
            "fax_number": "954-491-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "LISE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS9720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lise.Brown@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "6550 N Federal Hwy Ste 320",
            "city": "Fort Lauderdale",
            "state": "FL",
            "country_code": "US",
            "postal_code": "333081400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.