Active NPI 1326363292 Individual Practitioner Male Practitioner

Dr. Bruce Daniel Bauer , MD

Dermatology • Chesapeake, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Bauer, MD is a certified Dermatology practicing in Chesapeake, VA. With approximately 16 years of clinical experience since graduating from Eastern Virginia Medical School in 2010, Dr. Bauer delivers high-quality medical care to the local community at 510 INDEPENDENCE PKWY STE 600.

Dr. Bauer is affiliated with Pariser Dermatology Specialists Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include aminolevulinic acid hcl for topical administration, 10% gel, 10 mg, destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

510 Independence Pkwy Ste 600

Chesapeake, VA 233205220

Telephone 7576226315

Fax 7576227022

Associated Practice Facility / Clinic

🏢 Pariser Dermatology Specialists Ltd Facility NPI 1417047952

Medicare Profile & Education

Medical School

Eastern Virginia Medical School

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Chesapeake, VA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -3.3 yrs vs City Avg

City Avg: 19.3 Yrs

State Avg: 23.2 Yrs

Regional Practice Density

10 Specialists

Practicing in Chesapeake, VA (440 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bauer (16 Years) 16 Yrs

Chesapeake Specialty Average (19.3 Years) 19.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	27,200	71	$3.30	$1.64
17003 Destruction of precancer skin growth, 2-14 growths	1,340	377	$13.00	$6.40
99213 Established patient office or other outpatient visit, typically 15 minutes	828	749	$176.00	$87.98
17000 Destruction of skin growth	604	540	$131.50	$54.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	554	466	$248.50	$123.78
11102 Tangential biopsy of single skin lesion	293	267	$194.50	$88.97
17110 Destruction of up to 14 skin growths	285	264	$221.00	$109.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	227	227	$215.50	$107.83
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	137	71	$264.75	$130.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	136	136	$323.00	$160.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	114	109	$109.50	$54.86
11103 Biopsy of related skin growth, each additional growth	58	35	$97.25	$48.61
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	41	31	$346.25	$146.18
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	37	36	$587.75	$290.67
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	36	35	$32.25	$15.93
99202 New patient office or other outpatient visit, typically 20 minutes	35	35	$139.75	$70.11
11200 Removal of skin tag, 1-15 skin tags	34	34	$179.50	$74.11
11104 Punch biopsy, first skin growth	30	30	$242.00	$121.11
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	27	$474.00	$118.79
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	19	13	$2.00	$0.91
11900 Injection into skin growth, 1-7 growths	16	14	$111.25	$45.36
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$333.50	$83.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	24,600	70	$2.50	$1.62
17003 Destruction of precancer skin growth, 2-14 growths	1,605	415	$10.00	$6.62
99213 Established patient office or other outpatient visit, typically 15 minutes	819	723	$138.00	$88.87
17000 Destruction of skin growth	660	566	$100.50	$53.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	431	359	$195.75	$125.92
11102 Tangential biopsy of single skin lesion	334	303	$159.00	$95.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	263	263	$169.50	$109.82
17110 Destruction of up to 14 skin growths	203	191	$173.50	$111.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	129	129	$253.25	$162.79
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	123	71	$295.00	$138.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	102	97	$85.00	$56.04
11103 Biopsy of related skin growth, each additional growth	80	56	$80.75	$50.33
99202 New patient office or other outpatient visit, typically 20 minutes	46	46	$110.25	$71.70
11104 Punch biopsy, first skin growth	46	44	$198.75	$126.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	44	16	$7.75	$1.07
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	43	27	$272.25	$140.29
11200 Removal of skin tag, 1-15 skin tags	31	30	$136.75	$78.01
11900 Injection into skin growth, 1-7 growths	18	16	$86.00	$47.48
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	17	16	$471.25	$304.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	15,800	48	$2.50	$1.58
17003 Destruction of precancer skin growth, 2-14 growths	1,546	379	$10.00	$6.91
99213 Established patient office or other outpatient visit, typically 15 minutes	887	795	$138.00	$91.22
17000 Destruction of skin growth	595	525	$100.50	$56.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	359	320	$195.75	$128.83
11102 Tangential biopsy of single skin lesion	319	295	$159.00	$98.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	308	308	$169.50	$111.65
17110 Destruction of up to 14 skin growths	230	213	$173.50	$113.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	124	116	$85.00	$56.70
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	80	50	$295.00	$147.83
11103 Biopsy of related skin growth, each additional growth	80	58	$80.75	$52.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	66	66	$253.25	$168.62
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$110.25	$73.77
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	41	28	$7.75	$1.10
11104 Punch biopsy, first skin growth	40	39	$198.75	$130.59
11900 Injection into skin growth, 1-7 growths	30	27	$86.00	$50.30
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	29	28	$471.25	$311.53
11200 Removal of skin tag, 1-15 skin tags	28	28	$136.75	$78.82
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	28	24	$272.25	$166.34
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	17	$378.00	$125.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	18,801	46	$2.26	$1.55
17003 Destruction of precancer skin growth, 2-14 growths	1,235	340	$15.17	$6.63
99213 Established patient office or other outpatient visit, typically 15 minutes	856	746	$128.25	$91.84
17000 Destruction of skin growth	527	461	$102.08	$55.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	424	360	$173.41	$130.76
11102 Tangential biopsy of single skin lesion	350	313	$171.53	$99.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	302	302	$168.10	$113.19
17110 Destruction of up to 14 skin growths	218	204	$170.42	$114.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	176	162	$85.00	$56.40
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	97	46	$260.04	$147.10
11103 Biopsy of related skin growth, each additional growth	90	62	$88.48	$53.20
99202 New patient office or other outpatient visit, typically 20 minutes	82	82	$113.22	$74.28
11104 Punch biopsy, first skin growth	56	54	$220.82	$132.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$239.65	$167.70
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	47	32	$9.65	$1.26
11900 Injection into skin growth, 1-7 growths	45	31	$89.60	$52.05
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	31	31	$422.26	$317.73
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	27	21	$266.73	$159.72
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	21	$342.55	$127.55
11200 Removal of skin tag, 1-15 skin tags	17	16	$140.07	$62.37
87101 Fungal culture (mold or yeast) of skin, hair, or nail	11	11	$12.95	$7.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	14,001	43	$1.93	$1.46
17003 Destruction of precancer skin growth, 2-14 growths	1,720	407	$28.00	$6.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	875	764	$145.00	$109.58
17000 Destruction of skin growth	637	542	$105.00	$56.37
99213 Established patient office or other outpatient visit, typically 15 minutes	380	339	$105.00	$75.09
11102 Tangential biopsy of single skin lesion	298	276	$199.25	$97.09
99202 New patient office or other outpatient visit, typically 20 minutes	240	240	$120.00	$76.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	199	174	$85.00	$46.04
17110 Destruction of up to 14 skin growths	199	181	$165.00	$110.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	140	$165.00	$108.64
11103 Biopsy of related skin growth, each additional growth	96	61	$107.50	$52.42
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	73	44	$300.00	$135.43
11104 Punch biopsy, first skin growth	58	56	$250.25	$127.00
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	41	30	$300.00	$121.77
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	35	34	$370.00	$305.21
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	34	28	$235.00	$159.56
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	33	26	$12.36	$1.37
11900 Injection into skin growth, 1-7 growths	32	25	$95.00	$43.32
99201 New patient office or other outpatient visit, typically 10 minutes	28	28	$80.00	$44.48
11200 Removal of skin tag, 1-15 skin tags	17	17	$165.00	$80.23
11105 Punch biopsy, each additional skin growth	16	12	$123.00	$62.05
69100 Biopsy of ear	12	12	$160.00	$83.84
17004 Destruction of precancer skin growth, 15 or more growths	11	11	$265.00	$161.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	14,802	50	$1.96	$1.38
17003 Destruction of precancer skin growth, 2-14 growths	1,649	429	$28.00	$5.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,075	962	$145.00	$107.99
17000 Destruction of skin growth	673	588	$105.00	$54.66
99213 Established patient office or other outpatient visit, typically 15 minutes	419	368	$105.00	$73.09
99202 New patient office or other outpatient visit, typically 20 minutes	383	383	$120.08	$74.94
11102 Tangential biopsy of single skin lesion	297	278	$199.25	$92.26
17110 Destruction of up to 14 skin growths	243	218	$165.00	$106.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	221	199	$85.00	$43.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	155	155	$165.00	$106.64
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	98	63	$300.00	$122.71
11103 Biopsy of related skin growth, each additional growth	97	64	$107.50	$53.31
11104 Punch biopsy, first skin growth	82	80	$250.25	$121.56
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	57	43	$13.47	$1.53
11900 Injection into skin growth, 1-7 growths	55	42	$95.00	$46.00
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	50	44	$235.00	$161.83
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	35	33	$370.00	$285.53
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	23	15	$439.13	$387.67
11200 Removal of skin tag, 1-15 skin tags	22	22	$136.36	$72.56
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	16	$230.00	$80.42
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	13	11	$245.00	$151.03
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$300.00	$124.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,699	413	$28.00	$5.15
99213 Established patient office or other outpatient visit, typically 15 minutes	822	708	$105.00	$71.52
17000 Destruction of skin growth	660	567	$105.00	$52.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	596	547	$145.00	$105.52
99202 New patient office or other outpatient visit, typically 20 minutes	501	501	$120.00	$73.93
11100 Biopsy of single growth of skin and/or tissue	477	432	$140.00	$98.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	227	207	$85.00	$42.88
17110 Destruction of up to 14 skin growths	211	194	$165.00	$107.53
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	166	15	$223.48	$111.96
11101 Biopsy of each additional growth of skin and/or tissue	153	107	$60.00	$31.88
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	113	65	$300.00	$113.18
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	112	61	$450.00	$398.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	111	111	$165.00	$105.09
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	55	44	$12.00	$1.80
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	54	46	$235.00	$150.39
11900 Injection into skin growth, 1-7 growths	46	39	$95.00	$47.50
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	30	30	$370.00	$290.93
69100 Biopsy of ear	26	25	$160.00	$86.88
87220 Tissue fungi or parasites	26	26	$17.00	$5.16
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	23	21	$313.04	$129.14
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	15	$230.00	$88.80
87101 Fungal culture (mold or yeast) of skin, hair, or nail	14	13	$25.00	$9.32
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	13	13	$295.00	$228.16
10060 Simple or single drainage of skin abscess	13	13	$160.00	$110.30
11200 Removal of skin tag, 1-15 skin tags	13	13	$135.00	$75.52
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	11	11	$245.00	$190.59
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$255.00	$152.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,951	378	$28.00	$5.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	680	591	$145.00	$99.85
17000 Destruction of skin growth	581	485	$105.00	$50.64
99213 Established patient office or other outpatient visit, typically 15 minutes	575	496	$105.00	$68.01
99202 New patient office or other outpatient visit, typically 20 minutes	490	490	$120.00	$69.38
11100 Biopsy of single growth of skin and/or tissue	465	412	$140.00	$91.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	252	223	$85.00	$40.93
17110 Destruction of up to 14 skin growths	181	159	$165.00	$101.12
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	175	77	$368.66	$345.23
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	156	80	$300.00	$123.28
11101 Biopsy of each additional growth of skin and/or tissue	153	96	$60.00	$29.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	114	114	$165.00	$100.64
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	57	47	$235.00	$146.61
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	37	33	$370.00	$273.35
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	36	28	$12.00	$1.81
11900 Injection into skin growth, 1-7 growths	34	29	$95.00	$46.75
87220 Tissue fungi or parasites	30	28	$17.00	$3.90
69100 Biopsy of ear	26	23	$160.00	$65.40
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	13	$300.00	$116.24

Medical Specialties & State Licenses

CMS Verified: 2024-06-24

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License VA 101256764

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Hospital & Practice Group Affiliations

Pariser Dermatology Specialists Ltd

11842 Rock Landing Dr, Newport News, VA 236064437

Phone: 7575958816

Pariser Dermatology Specialists Ltd

207 Bulifants Blvd, Williamsburg, VA 231885732

Phone: 7575648535

Practice Associates & Co-Workers

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

32 Associated Practitioners

Summer French , PA-C

Physician Assistant

NPI 1073405858

Physician Assistant (Certified)

Analise Hughes , PA-C

Physician Assistant - Medical

NPI 1083068167

Physician Assistant (Certified)

Dr. Molly Smith , MD

Dermatology

NPI 1083633416

Doctor of Medicine (M.D.)

Dr. Robert Baer , MD

Dermatology

NPI 1083720767

Doctor of Medicine (M.D.)

Dr. William Dehart , DO

Dermatology

NPI 1194936799

Doctor of Osteopathic Medicine (D.O.)

Christopher Roberts , PA-C

Physician Assistant

NPI 1205242146

Physician Assistant (Certified)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location June 24, 2024

Registered at 510 INDEPENDENCE PKWY STE 600, CHESAPEAKE, VA 233205220 (Tel: 7576226315)

👤

Provider Name / Credentials Updated June 24, 2024

Recorded as BRUCE BAUER, MD

✅

NPI Profile Active August 30, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 30, 2017

Registered at 6160 KEMPSVILLE CIR STE 200A, NORFOLK, VA 235023945 (Tel: 7576226315)

📍

Updated Business Mailing Address August 30, 2017

Registered at 6160 KEMPSVILLE CIR STE 200A, NORFOLK, VA 235023945 (Tel: (757) 622-6315)

👤

Provider Name / Credentials Updated August 30, 2017

Recorded as BRUCE BAUER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2017

Dermatology (License #101256764 in VA)

✅

NPI Profile Active August 01, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 01, 2016

Registered at 400 GRESHAM DR, 601 MEDICAL TOWER, NORFOLK, VA 235071901 (Tel: 7576226315)

📍

Updated Business Mailing Address August 01, 2016

Registered at 601 MEDICAL TOWER, NORFOLK, VA 23506 (Tel: 7576226315)

👤

Provider Name / Credentials Updated August 01, 2016

Recorded as BRUCE BAUER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2016

Dermatology (License #56042-20 in WI)

🟢

Initial NPI Registration & Enumeration April 02, 2010

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: 1326363292

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 02, 2010

Last Update: June 24, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6160 Kempsville Cir Ste 200a

Norfolk, VA 235023945

Phone: 7576226315

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.