ST. LOUIS DERMATOLOGY & COSMETIC SURGERY – NPI #1134873185
Dermatology

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

ST. LOUIS DERMATOLOGY & COSMETIC SURGERY is a dermatologist located in TROY, MO. NPPES has assigned the NPI number 1134873185 to ST. LOUIS DERMATOLOGY & COSMETIC SURGERY on February 08, 2022. 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 207ND0101X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in MOHS-Micrographic Surgery Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on May 10, 2026. 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 ST. LOUIS DERMATOLOGY & COSMETIC SURGERY below.

NPI Profile for
ST. LOUIS DERMATOLOGY & COSMETIC SURGERY

NPI Number
1134873185
Enumeration Date

(more than 4 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
ST. LOUIS DERMATOLOGY & COSMETIC SURGERY
Primary location
520 E CHERRY ST
TROY, MO 63379-1410
Phone: (314) 834-1400 Fax: (314) 834-1430
1 Other location(s):
14377 Woodlake Dr Ste 111
Chesterfield, MO 63017-5735
Phone: (314) 834-1400
Fax: (314) 834-1430
Mailing address
7354 MARYLAND AVE
SAINT LOUIS, MO 63130-4201
Phone: (314) 834-1400 Fax:
Organization Subpart
No
Authorized Official
BRANDON BEAL
MEDICAL DIRECTOR
Phone: (314) 422-6882
Updated
Certification Date
May 10, 2026

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.

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.