BRAVIA DERMATOLOGY – NPI #1356884837
Dermatology

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.

Health Care Provider Taxonomy Code for Dermatology

BRAVIA DERMATOLOGY is a dermatologist located in HOLLAND, OH. NPPES has assigned the NPI number 1356884837 to BRAVIA DERMATOLOGY on December 01, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BRAVIA DERMATOLOGY” is a dba name, the actual legal business name for this organization is BRAVIA DERMATOLOGY GROUP, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207N00000X from the Health Care Provider Taxonomy code set, which is classified as Dermatology.

The NPI profile was previously updated about 2 years ago on Apr 18, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRAVIA DERMATOLOGY below.

NPI Profile for
BRAVIA DERMATOLOGY GROUP, LLC

NPI Number
1356884837
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BRAVIA DERMATOLOGY GROUP, LLC
Doing Business As (dba): BRAVIA DERMATOLOGY
Primary location
7050 SPRING MDWS DR W
HOLLAND, OH 43528-7203
Phone: (419) 948-3376 Fax: (419) 665-3632
1 Other location(s):
1490 Pinehurst Dr
Defiance, OH 43512-8670
Phone: (419) 948-3376
Fax: (419) 665-3632
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MATTHEW MOLENDA
OWNER
Phone: (419) 948-3376
Updated
Certification Date
Apr 18, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207N00000X
- Dermatology (Primary)
207NS0135X
- Dermatology / Procedural Dermatology
207ND0101X
- Dermatology / MOHS-Micrographic Surgery

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.