Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Premier Dermatology, Ltd.

Q: What type of organization is Premier Dermatology, Ltd.?

Premier Dermatology, Ltd. is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).

Dermatology Physician in Waterloo, IA · enumerated 2013 · authorized official Justin Ellerbroek, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1467898007

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Registry record

Entity type Organization (Type 2)

Legal business name Premier Dermatology, Ltd.

Practice address 3741 Pheasant Ln, Waterloo, IA, 50701

Phone (319) 234-6000

Fax (319) 234-6001

Enumeration date May 21, 2013

Last updated in NPPES Feb 1, 2024

Taxonomy & classification

207N00000X Dermatology Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Justin Ellerbroek

Title Owner

Phone (319) 233-3044

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Premier Dermatology, Ltd.?

Premier Dermatology, Ltd. is registered in NPPES as a Dermatology Physician (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-02-01.