BRYAN ROBERT UPDEGRAFF MD NPI 1710971320

NPI Information

  • NPI: 1710971320
  • Provider Name: BRYAN ROBERT UPDEGRAFF, MD
  • Classification: Dermatology - 207NI0002X
  • Specialization: Clinical & Laboratory Dermatological Immunology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14666 N DEL WEBB BLVD
    SUN CITY, AZ
    ZIP 85351
  • Phone: (623) 933-3107

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NPI Details

Bryan Robert Updegraff, MD is a clinical and laboratory dermatological immunology dermatology in Sun City, AZ with 56 years of experience. The provider is a dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. Bryan Robert Updegraff, MD NPI is 1710971320. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK MEDICAL COLLEGE
Graduation Year:1970

The provider's business location address is:

14666 N DEL WEBB BLVD
SUN CITY, AZ
ZIP 85351-137
Phone: (623) 933-3107
Fax: (623) 972-1418

The NPI 1710971320 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Professional service for multiple injections of allergen (HCPCS:95117)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Professional service for preparation and provision of 1 or more antigens (HCPCS:95165)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Test for allergy using allergenic extract (HCPCS:95004)
  • Injection, methylprednisolone sodium succinate, up to 40 mg (HCPCS:J2920)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Therapy procedure using ultraviolet radiation with tar or petroleum jelly application (HCPCS:96910)
  • Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Treatment of inflammatory skin disease using laser, less than 250.0 sq cm (HCPCS:96920)
  • Professional service for single injection of allergen (HCPCS:95115)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
  • Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm (HCPCS:12052)
  • Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm (HCPCS:11642)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Injection into skin growth, 1-7 growths (HCPCS:11900)
  • Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
  • Punch biopsy, first skin growth (HCPCS:11104)
  • Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm (HCPCS:12042)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm (HCPCS:11622)
  • Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 2.1-3.0 cm (HCPCS:11623)
  • Biopsy of ear (HCPCS:69100)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 9/9/2005 and was last updated on 11/14/2024.

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
1207KA0200XAllergy & ImmunologyAllergy10896ARIZONANo
2207N00000XDermatology10896ARIZONANo
3207ND0101XDermatologyMOHS-Micrographic Surgery10896ARIZONANo
4207ND0900XDermatologyDermatopathology10896ARIZONANo
5207NP0225XDermatologyPediatric Dermatology10896ARIZONANo
6207K00000XAllergy & Immunology10896ARIZONANo
7207NS0135XDermatologyProcedural Dermatology10896ARIZONANo
8207NI0002XDermatologyClinical & Laboratory Dermatological Immunology10896ARIZONAYes

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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