Coastal Dermatology, LLC
NPI 1164690822ActiveOrganization· Dermatology· Mount Pleasant, SC
Dermatology in Mount Pleasant, South Carolina, registered in NPPES in February 2008. The authorized official on file is Michele Ann Mittlebronn, M.D., Billing/ Credentialing.
Overview
| NPI | 1164690822 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 15, 2008 |
| Last updated in NPPES | May 10, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 22838 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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