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Active NPI 1801353941 Individual Practitioner Male Practitioner

Dr. Deric D Thomson , MD, DMD

Plastic Surgery - Plastic Surgery Within the Head and Neck • Melbourne, FL

Professional Overview & Biography Verified Profile Summary

Dr. Deric Thomson, MD, DMD is a registered healthcare professional specializing in Plastic Surgery - Plastic Surgery Within the Head and Neck in Melbourne, FL. Practice services are available at 707 W EAU GALLIE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

707 W Eau Gallie Blvd

Melbourne, FL 329355958

Telephone 3227273223
Fax 3217279448
Associated Practice Facility / Clinic
🏢 Bermax Ii Llc Facility NPI 1326374901

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery - Plastic Surgery Within the Head and Neck in Melbourne, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.0 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Melbourne, FL (19 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-09
Plastic Surgery - Plastic Surgery Within the Head and Neck Primary Specialty

NUCC Taxonomy Code: 2082S0099X

State License FL ME172693

A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.

Dentist - Oral and Maxillofacial Surgery

NUCC Taxonomy Code: 1223S0112X

State License FL DN24343

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Susan Bernard

Registered Nurse

NPI 1033224795
Dr. Christopher Hess , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1235205352

Doctor of Medicine (M.D.)

Dr. Ross Clevens , MD

Plastic Surgery - Plastic Surgery Within the Head and Neck

NPI 1538140231

Doctor of Medicine (M.D.)

Brian Benson , PA-C

Physician Assistant - Surgical

NPI 1760523393

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location July 09, 2025

Registered at 707 W EAU GALLIE BLVD, MELBOURNE, FL 329355958 (Tel: 3227273223)

👤
Provider Name / Credentials Updated July 24, 2023

Recorded as DERIC THOMSON, MD, DMD

📍
Updated Practice Location May 11, 2022

Registered at 63 FOREST EDGE DR, SAINT JOHNS, FL 322597311 (Tel: 4047594507)

📍
Updated Business Mailing Address May 11, 2022

Registered at 63 FOREST EDGE DR, SAINT JOHNS, FL 322597311 (Tel: 4047594507)

📍
Updated Practice Location April 20, 2020

Registered at 655 W 8TH ST, JACKSONVILLE, FL 322096511 (Tel: 9042443140)

📍
Updated Business Mailing Address April 20, 2020

Registered at 653 W 8TH ST, JACKSONVILLE, FL 322096511 (Tel: 9042442000)

📍
Updated Business Mailing Address October 22, 2019

Registered at 63 FOREST EDGE DR, SAINT JOHNS, FL 322597311 (Tel: 9042443140)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2019

Dentist (License #DN24343 in FL)

NPI Profile Active February 25, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location February 25, 2019

Registered at 653-1 W 8TH ST FL 4, JACKSONVILLE, FL 322096511 (Tel: 9042443140)

📍
Updated Business Mailing Address February 25, 2019

Registered at 653-1 W 8TH ST FL 4, JACKSONVILLE, FL 322096511 (Tel: 9042443140)

👤
Provider Name / Credentials Updated February 25, 2019

Recorded as DERIC THOMSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration February 25, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801353941
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 25, 2019
Last Update: July 09, 2025
Sole Proprietor: No

Mailing Address

63 Forest Edge Dr

Saint Johns, FL 322597311

Phone: 4047594507

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.