St. Louis Dermatology & Cosmetic Surgery

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

Legal business name

ST. LOUIS DERMATOLOGY & COSMETIC SURGERY

Practice address

520 E Cherry St
Troy, MO 63379-1410

Phone

(314) 834-1400

Fax

(314) 834-1430

NPI assigned

Feb 8, 2022

Organization subpart

No

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

Authorized official

Name

Brandon Beal, MDNPI 1902291784

Title

Medical Director

Phone

(314) 422-6882

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Tyler Beal, MD

  • MOHS-Micrographic Surgery Physician
  • Troy, MO
  • NPI 1902291784

  Dermatology, MO

  Medicare reassignment Care Compare group NPD Authorized official
• Kayleigh Nissle

  • Family Nurse Practitioner
  • Troy, MO
  • NPI 1740883495

  MO

  Medicare reassignment Care Compare group NPD
• Jennifer Lynn Swofford, PA-C

  • Physician Assistant
  • Troy, MO
  • NPI 1700228350

  MO

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778371200000",
    "number": "1134873185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7354 MARYLAND AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631304201",
            "telephone_number": "314-834-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E CHERRY ST",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633791410",
            "telephone_number": "314-834-1400",
            "fax_number": "314-834-1430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14377 Woodlake Dr Ste 111",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "MO",
            "postal_code": "630175735",
            "country_code": "US",
            "telephone_number": "314-834-1400",
            "fax_number": "314-834-1430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST. LOUIS DERMATOLOGY & COSMETIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2026-05-10",
        "certification_date": "2026-05-10",
        "status": "A",
        "authorized_official_last_name": "BEAL",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "314-422-6882",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniella Rae Spencer, LPC
• SSM Cardinal Glennon Children'S Hospital
• SSM Medical Group Inc.
• SSM St. Charles Clinic Medical Group, Inc.
• Sstar LLC
• Starling Counseling & Consulting
• Heather Stewart, PTA
• Samantha Joann Stolle, DC
• Katherine Strauser, PHARMD
• Brandi Escalante Street, MD

• All providers in Troy, MO
• MOHS-Micrographic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2026; 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.