ST. LOUIS DERMATOLOGY & COSMETIC SURGERY NPI 1134873185

NPI Information

  • NPI: 1134873185
  • Provider Name: ST. LOUIS DERMATOLOGY & COSMETIC SURGERY
  • Classification: Dermatology - 207ND0101X
  • Specialization: MOHS-Micrographic Surgery
  • Entity Type: Organization
  • CLIA Number: 26D2259782
  • Address: 520 E CHERRY ST
    TROY, MO
    ZIP 63379
  • Phone: (314) 422-6882

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NPI Details

ST. LOUIS DERMATOLOGY & COSMETIC SURGERY is a mohs-micrographic surgery dermatology in Troy, MO. The provider is 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 NPI is 1134873185. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

520 E CHERRY ST
TROY, MO
ZIP 63379-410
Phone: (314) 422-6882

The provider's authorized official is Brandon Beal .
The authorized official title is Medical Director and has the following contact phone number (314) 422-6882.

The CLIA number assigned to this NPI record is 26D2259782 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/8/2022 and was last updated on 11/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0900XDermatologyDermatopathologyNo
2207NP0225XDermatologyPediatric DermatologyNo
3207NS0135XDermatologyProcedural DermatologyNo
4207N00000XDermatologyNo
5207ND0101XDermatologyMOHS-Micrographic SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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