PROVIDENCE DERMATOLOGY LLC – NPI #1568029957
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

PROVIDENCE DERMATOLOGY LLC is a dermatologist located in PROVIDENCE, UT. NPPES has assigned the NPI number 1568029957 to PROVIDENCE DERMATOLOGY LLC on May 22, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 last updated on Jun 16, 2025. 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 PROVIDENCE DERMATOLOGY LLC below.

NPI Profile for
PROVIDENCE DERMATOLOGY LLC

NPI Number
1568029957
Enumeration Date

(more than 7 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
PROVIDENCE DERMATOLOGY LLC
Primary location
169 N GATEWAY DR STE 100
PROVIDENCE, UT 84332-9860
Phone: (541) 999-4475 Fax:
1 Other location(s):
950 Medical Dr Ste 311
Brigham City, UT 84302-4724
Phone: (435) 554-1182
Fax: (435) 554-1950
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TRAVIS JAMES
OWNER/PHYSICIAN
Phone: (435) 554-1182
Updated
Certification Date
Jun 16, 2025

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)
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.