Base Dermatology, PC
NPI 1902672652ActiveOrganization· Dermatology, MOHS-Micrographic Surgery· Royal Oak, MI
Dermatology, MOHS-Micrographic Surgery in Royal Oak, Michigan, registered in NPPES in December 2023. The authorized official on file is Bryan Sofen, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1902672652 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 4, 2023 |
| Last updated in NPPES | Jul 1, 2025 |
| Certified by provider | Jul 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology, MOHS-Micrographic Surgery Primary | 207ND0101X | — | — |
| Dermatology | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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