Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Craig Ellerbroek, MD

Individual provider MOHS-Micrographic Surgery Physician · NPI 1790981207

Justin Craig Ellerbroek, MD is a Dermatology in Waterloo, Iowa. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 2006, 20 years ago. Practices with Premier Dermatology Ltd, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
20
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
IA
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3741 Pheasant Ln
Waterloo, IA 50701-5215
Phone: (319) 234-6000
Fax: (319) 234-6001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 312 9th St Sw Ste 2000, Waverly, IA 50677-2909 — (319) 234-6000

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 38816 (IA)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 38816 (IA)

Record details

NPI number1790981207
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2007
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 2006 (20 years in practice)
Group practice Premier Dermatology Ltd — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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