Dermatology Specialists of Pennsylvania
NPI 1790395747ActiveOrganization· Dermatology· Southampton, PA
Dermatology in Southampton, Pennsylvania, registered in NPPES in August 2020. The authorized official on file is Roman Bronfenbrener, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790395747 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 5, 2020 |
| Last updated in NPPES | Aug 5, 2020 |
| Certified by provider | Aug 5, 2020 |
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) | Enrolled Part B Supplier - Clinic/Group Practice (PA) |
|---|
Other Dermatology providers in Southampton
- 1134488638