Individual provider Active NPI

Bryan Daniel Sofen, M.D.

  • MOHS-Micrographic Surgery Physician
  • Royal Oak, MI
National Provider Identifier
1043452139
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
4301113046 Issued in MI
Practice address
27776 Woodward Ave
Royal Oak, MI 48067-0930
Phone
(248) 355-5047
Fax
(248) 355-3511
NPI assigned
Apr 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4301113046 MI
MOHS-Micrographic Surgery Physician 207ND0101X 4301113046 MI Primary

Addresses

Primary practice location

27776 Woodward Ave
Royal Oak, MI 48067-0930

Mailing address

27776 Woodward Ave
Royal Oak, MI 48067-0930
Phone (248) 355-5047

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170808000067 MI Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 5597044750 Reassigns benefits to 4 organizations
I20190524002199 WY Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 5597044750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Wayne State University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laura K Ganger MD PCGroup PAC ID 0143472373, 8 clinicians

Practice addresses (Care Compare)

1979 Huron Pkwy
Ann Arbor, MI 48104-4141
Phone (734) 344-4567

26400 W 12 Mile Rd
Suite 180
Southfield, MI 48034-1785
Phone (248) 355-5047

27776 Woodward Ave
Royal Oak, MI 48067-0930
Phone (248) 355-5047

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.5 of 100Reported as group
Quality
85
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision69
Removal of skin lesions312
Removal of skin cancer520
Removal or shaving of skin growth1-10
Skin biopsy148

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301113046MIMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Wyoming, Inc Dermatology CurrentSince Jun 1, 2019 Accepting new patients
Singer Dermatology CurrentSince Apr 1, 2022 Accepting new patients
Laura K Ganger, M.D. P.C. Dermatology CurrentSince Aug 8, 2024 Accepting new patients
Base Dermatology, PC Dermatology CurrentSince Jan 1, 2024 Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

7397 Solutions Ctr
Chicago, IL 60677

1979 S Huron Pkwy
Ann Arbor, MI 48104
Phone (734) 344-4567

650 S Main St
Plymouth, MI 48170
Phone (734) 344-4567

27776 Woodward Ave
Royal Oak, MI 48067
Phone (248) 541-4200

26400 W 12 Mile Rd
Ste 180
Southfield, MI 48034
Phone (248) 355-5047

29355 Northwestern Hwy
Ste 302
Southfield, MI 48034
Phone (248) 228-2990

Interoperability endpoints

  • Direct secure messaging: bsofen729553@direct.hfhs.org

Organizations & group practices 5

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 4

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": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1043452139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27776 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670930",
            "telephone_number": "248-355-5047",
            "fax_number": "248-355-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27776 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670930",
            "telephone_number": "248-355-5047",
            "fax_number": "248-355-3511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOFEN",
        "first_name": "BRYAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-03",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301113046",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MI",
            "license": "4301113046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.