BW Dermatology PLLC

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

BW DERMATOLOGY PLLC

Doing business as

Bluewater Dermatology

Practice address

2339 Medico LN Ste 101
Melbourne, FL 32940-8946

Phone

(321) 406-8615

NPI assigned

May 4, 2026

Last updated

May 4, 2026By 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

Andrew Kelsey, MD

Title

Ceo

Phone

(321) 406-8615

Specialties & licenses 2

Addresses

Other names 1

• Bluewater Dermatology Doing business as

Locations

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1831026004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 MEDICO LN STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408946",
            "telephone_number": "321-406-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 MEDICO LN STE 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408946",
            "telephone_number": "321-406-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BW DERMATOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "KELSEY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-406-8615",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluewater Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Megan Butler
• Rebecca G Butler, CRNA
• Patricia A Buxton, ARNP
• Paul W. Buza, D.O.
• Barbara Buzzo, ARNP FNP-C
• Laini Byfield, NBCHWC
• Stephanie Ann Byrd, MS, LMFT
• Samantha Gloria Byrne, APRN
• Stephanie Janine Byrnes
• C & C Healthcare LLC

• MOHS-Micrographic Surgery Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• MOHS-Micrographic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.