Individual provider Active NPI

David Byron Duff

  • Dermatology Physician
  • North Charleston, SC
National Provider Identifier
1003435801
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
86319 Issued in SC
Practice address
9295 Medical Plaza Dr # Ab
North Charleston, SC 29406-9137
Phone
(843) 797-3960
NPI assigned
Apr 11, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 86319 SC Primary

Addresses

Primary practice location

9295 Medical Plaza Dr # Ab
North Charleston, SC 29406-9137

Mailing address

9295 Medical Plaza Dr # Ab
North Charleston, SC 29406-9137
Phone (843) 797-3960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240325003116 SC Practitioner - Dermatology 6709282148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Mississippi School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trident Dermatology PAGroup PAC ID 5092774034, 8 clinicians

Practice addresses (Care Compare)

9295 Medical Plaza Dr
Suite a
Charleston, SC 29406-9137
Phone (843) 797-3960

Hospital & facility affiliations

  • Trident Medical Center Hospital, Charleston, SC, CCN 420079

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision23
Removal of skin lesions2293
Removal or shaving of skin growth418
Skin biopsy260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
86319SCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trident Dermatology, PA Dermatology CurrentSince Feb 22, 2024 Accepting new patients

Locations

9295 Medical Plaza Dr
Ste A
Charleston, SC 29406
Phone (843) 797-3960

9295 Medical Plaza Dr
Ste Ab
North Charleston, SC 29406
Phone (843) 797-3960

Networks

  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1003435801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9295 MEDICAL PLAZA DR # AB",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069137",
            "telephone_number": "843-797-3960",
            "fax_number": "843-553-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9295 MEDICAL PLAZA DR # AB",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069137",
            "telephone_number": "843-797-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFF",
        "first_name": "DAVID",
        "middle_name": "BYRON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-11",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "86319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.