Organization Active NPI

Proper Dermatology PLLC

  • Dermatology Physician
  • Gulf Breeze, FL
National Provider Identifier
1528623923
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
PROPER DERMATOLOGY PLLC
Practice address
30 Daniel Cir
Gulf Breeze, FL 32561-4571
Phone
(850) 735-3376
Fax
(850) 848-6373
NPI assigned
May 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Sean Branch, DONPI 1124333232
Title
Ceo
Phone
(850) 449-7318

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

30 Daniel Cir
Gulf Breeze, FL 32561-4571

Mailing address

30 Daniel Cir
Gulf Breeze, FL 32561-4571
Phone (850) 735-3376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191122000367 FL Part B Supplier - Clinic/Group Practice 8325470727 Receives reassigned benefits from 5 practitioners
Practice locations: Gulf Breeze, FL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2175073Proper Dermatology, PLLC30 Daniel Circle, Gulf Breeze, FL 32561ComplianceFeb 15, 2028

National Provider Directory

National Provider Directory

Locations

30 Daniel Cir
Gulf Breeze, FL 32561
Phone (850) 735-3376

85 Bay Bridge Dr
Gulf Breeze, FL 32561
Phone (850) 735-3376

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00240

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1556668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1528623923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 DANIEL CIR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614571",
            "telephone_number": "850-735-3376",
            "fax_number": "850-848-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 DANIEL CIR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614571",
            "telephone_number": "850-735-3376",
            "fax_number": "850-848-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROPER DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-01",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A",
        "authorized_official_last_name": "BRANCH",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-449-7318",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.