Organization Active NPI

Bare Derm Group Inc

Doing business as Bare Dermatology

  • Dermatology Physician
  • Dallas, TX
National Provider Identifier
1053029348
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
BARE DERM GROUP INC
Doing business as
Bare Dermatology
Practice address
2110 Research Row Ste 310
Dallas, TX 75235-2534
Phone
(972) 797-9297
Fax
(972) 330-8808
NPI assigned
Nov 7, 2022
Last updated
Sep 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Christopher Halpin
Title
Ceo
Phone
(972) 483-9228

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X Primary
MOHS-Micrographic Surgery Physician 207ND0101X
Dermatopathology Physician 207ND0900X
Plastic Surgery Physician 208200000X
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X

Addresses

Primary 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

  • Bare Dermatology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2275994Bare Derm Group, Inc1005 W Ralph Hall Pkwy Suite 207, Rockwall, TX 75032ComplianceOct 17, 2027
45D2277775Bare Derm Group, Inc2110 Research Row Suite 310, Dallas, TX 75235Provider-performed microscopyAug 31, 2027

National Provider Directory

National Provider Directory

Locations

977 Raintree Cir
Allen, TX 75013

2110 Research Row
Dallas, TX 75235
Phone (214) 645-7005

2110 Research Row
Ste 3
Dallas, TX 75235

9201 N Central Expy
Dallas, TX 75231
Phone (214) 851-1031

9201 N Central Expy
Ste 120
Dallas, TX 75231
Phone (214) 286-6489

834 W Highway 82
Gainesville, TX 76240

834 W Highway 82
Ste 102
Gainesville, TX 76240
Phone (940) 294-7302

1008 NE Big Bend Trl
Ste 400
Glen Rose, TX 76043
Phone (682) 936-2544

1200 Crawford Ave
Ste D
Granbury, TX 76048
Phone (817) 573-5996

2800 Village Rd
Ste 112
Granbury, TX 76049
Phone (817) 661-1520

3041 Washington Dr
Ste 400
Melissa, TX 75454
Phone (469) 214-3284

Practitioners & affiliated clinicians

Practitioners 22

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 22

NPI Registry JSON

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

{
    "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": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_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.

Verify at the official NPI Registry.