Individual provider Active NPI

Brandy Walton Mills, MD

  • Dermatology Physician
  • Gilbert, AZ
National Provider Identifier
1306307350
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
69313 Issued in AZ
Practice address
1688 E Boston St
Gilbert, AZ 85295-6221
Phone
(480) 855-0085
Fax
(480) 855-0086
NPI assigned
Mar 30, 2019
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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 69313 AZ Primary
Student in an Organized Health Care Education/Training Program 390200000X CO

Addresses

Primary practice location

1688 E Boston St
Gilbert, AZ 85295-6221

Mailing address

1688 E Boston St
Gilbert, AZ 85295-6221
Phone (480) 855-0085

Other practice location 1

1665 Aurora Court
Anschutz Cancer Pavilion Bldg, 3rd floor
Aurora, CO 80045
Phone (720) 848-0500

Other practice location 2

1721 E 19th Ave Ste 520
Denver, CO 80218-1243
Phone (303) 869-2093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20230706002191 AZ Practitioner - Dermatology 5991123853 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Texas Tech University Health Science Center School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Sky Dermatology PLLCGroup PAC ID 3971753054, 13 clinicians

Practice addresses (Care Compare)

1688 E Boston St
Suite 101
Gilbert, AZ 85295-6222
Phone (480) 855-0085

Merit-based Incentive Payment System (MIPS)

Final score
92.32 of 100Reported as group
Quality
99.63
Improvement activities
40
Cost
74.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision55
Removal of tissue1-10
Removal of skin lesions905
Removal or shaving of skin growth49
Skin biopsy430

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Skin Laboratory PLLC CurrentSince Mar 12, 2024 Accepting new patients
Desert Sky Dermatology, PLLC Dermatology CurrentSince Jun 1, 2023 Accepting new patients

Locations

1688 E Boston St
Ste 101
Gilbert, AZ 85295
Phone (480) 855-0085

1688 E Boston St
Gilbert, AZ 85295
Phone (480) 855-0085

1688 E Boston St
Ste 121124
Gilbert, AZ 85295
Phone (480) 855-0085

1688 E Boston St
Ste 121
Gilbert, AZ 85295

7205 E Baseline Rd
Mesa, AZ 85209
Phone (480) 855-0085

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1553904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1306307350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 E BOSTON ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956221",
            "telephone_number": "480-855-0085",
            "fax_number": "480-855-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 E BOSTON ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956221",
            "telephone_number": "480-855-0085",
            "fax_number": "480-855-0086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1665 Aurora Court",
            "address_2": "Anschutz Cancer Pavilion Bldg, 3rd floor",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "80045",
            "country_code": "US",
            "telephone_number": "720-848-0500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1721 E 19th Ave Ste 520",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802181243",
            "country_code": "US",
            "telephone_number": "303-869-2093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS",
        "first_name": "BRANDY",
        "middle_name": "WALTON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-30",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "69313",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.