Bdl Mass LLC
NPI 1649934027ActiveOrganization· Dermatology· Concord, MA
Dermatology in Concord, Massachusetts, registered in NPPES in October 2021, part of Boston Dermatology and Laser Center, LLC. The authorized official on file is Samuel Goos, Owner.
Overview
| NPI | 1649934027 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Boston Dermatology and Laser Center, LLC |
| NPI issued | Oct 22, 2021 |
| Last updated in NPPES | Oct 22, 2021 |
| Certified by provider | Oct 22, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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