Active NPI
Bare Derm Group Inc
- Dermatology Physician
- Dallas, TX
National Provider Identifier
1053029348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- BARE DERM GROUP INC
- Practice address
- 2110 Research Row Ste 310
Dallas, TX 75235-2534 - Phone
- (972) 797-9297
- Fax
- (972) 330-8808
- NPI assigned
- Nov 7, 2022
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Christopher Halpin
- Title
- Ceo
- Phone
- (972) 483-9228
Practitioners 21
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Gainesville, TX
- NPI 1720251085
-
- Physician Assistant
- McKinney, TX
- NPI 1134698939
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2275994 | Bare Derm Group, Inc | Compliance | Oct 17, 2027 |
| 45D2277775 | Bare Derm Group, Inc | Provider-performed microscopy | Aug 31, 2027 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230105001326 | TX | Part B Supplier - Clinic/Group Practice | 3274903307 |
Receives reassigned benefits from 18 practitioners Practice locations: Rockwall, TX; Melissa, TX; Granbury, TX; Glen Rose, TX; Frisco, TX; Dallas, TX; Aubrey, TX; Allen, TX… |
National Provider Directory
National Provider DirectoryLocations
977 Raintree Cir
Allen, TX 75013
9201 N Central Expy
Ste 120
Dallas, TX 75231
Phone (214) 286-6489
2110 Research Row
Ste 3
Dallas, TX 75235
9201 N Central Expy
Dallas, TX 75231
Phone (214) 851-1031
2110 Research Row
Ste 310
Dallas, TX 75235
Phone (972) 797-9297
12850 Dallas Pkwy
Ste 300
Frisco, TX 75033
Phone (469) 214-5202
834 W Highway 82
Gainesville, TX 76240
834 W Highway 82
Ste 102
Gainesville, TX 76240
Phone (940) 294-7302
1200 Crawford Ave
Ste D
Granbury, TX 76048
Phone (817) 573-5996
3041 Washington Dr
Ste 400
Melissa, TX 75454
Phone (469) 214-3284
Specialties & licenses 6
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary | ||
| MOHS-Micrographic Surgery Physician | 207ND0101X | |||
| Dermatopathology Physician | 207ND0900X | |||
| Plastic Surgery Physician | 208200000X | |||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
NPPES NPI RegistryPrimary practice location
2110 Research Row Ste 310
Dallas, TX 75235-2534
Mailing address
1005 W Ralph Hall Pkwy Ste 207
Rockwall, TX 75032-6662
Phone (972) 483-9228
Other practice location 1
1005 W Ralph Hall Pkwy Ste 207
Rockwall, TX 75032-6662
Phone (972) 483-9228
Other practice location 2
834 W Highway 82 Ste 102
Gainesville, TX 76240-2533
Phone (940) 294-7302
Other practice location 3
3041 Washington Drive
Suite 400
Melissa, TX 75454
Phone (469) 581-0599
Other practice location 4
977 Raintree Cir Ste 120
Allen, TX 75013-5024
Phone (972) 430-8220
Other practice location 5
27045 E University Dr Ste 1A
Aubrey, TX 76227-2746
Phone (972) 767-4944
Other practice location 6
1200 Crawford Ave Ste D
Granbury, TX 76048-4562
Phone (972) 483-9228
Other practice location 7
9201 N Central Expy Ste 120
Dallas, TX 75231-6001
Phone (214) 286-6489
Other practice location 8
12850 Dallas Pkwy Ste 300
Frisco, TX 75033-0844
Phone (469) 214-5202
Other names 1
NPPES NPI Registry- Bare Dermatology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2024.
{
"created_epoch": "1667779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726012800000",
"number": "1053029348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 W RALPH HALL PKWY STE 207",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750326662",
"telephone_number": "972-483-9228",
"fax_number": "972-433-6128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 RESEARCH ROW STE 310",
"city": "DALLAS",
"state": "TX",
"postal_code": "752352534",
"telephone_number": "972-797-9297",
"fax_number": "972-330-8808"
}
],
"practiceLocations": [
{
"address_1": "1005 W Ralph Hall Pkwy Ste 207",
"address_purpose": "LOCATION",
"city": "Rockwall",
"state": "TX",
"postal_code": "750326662",
"country_code": "US",
"telephone_number": "972-483-9228",
"fax_number": "972-330-8808",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "834 W Highway 82 Ste 102",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "TX",
"postal_code": "762402533",
"country_code": "US",
"telephone_number": "940-294-7302",
"fax_number": "972-330-8808",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3041 Washington Drive",
"address_2": "Suite 400",
"address_purpose": "LOCATION",
"city": "Melissa",
"state": "TX",
"postal_code": "75454",
"country_code": "US",
"telephone_number": "469-581-0599",
"fax_number": "469-581-0598",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "977 Raintree Cir Ste 120",
"address_purpose": "LOCATION",
"city": "Allen",
"state": "TX",
"postal_code": "750135024",
"country_code": "US",
"telephone_number": "972-430-8220",
"fax_number": "972-330-8808",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27045 E University Dr Ste 1A",
"address_purpose": "LOCATION",
"city": "Aubrey",
"state": "TX",
"postal_code": "762272746",
"country_code": "US",
"telephone_number": "972-767-4944",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 Crawford Ave Ste D",
"address_purpose": "LOCATION",
"city": "Granbury",
"state": "TX",
"postal_code": "760484562",
"country_code": "US",
"telephone_number": "972-483-9228",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9201 N Central Expy Ste 120",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752316001",
"country_code": "US",
"telephone_number": "214-286-6489",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12850 Dallas Pkwy Ste 300",
"address_purpose": "LOCATION",
"city": "Frisco",
"state": "TX",
"postal_code": "750330844",
"country_code": "US",
"telephone_number": "469-214-5202",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BARE DERM GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-07",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A",
"authorized_official_last_name": "HALPIN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "972-483-9228"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Dermatopathology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bare Dermatology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bare Dermatology",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.