Bardin Dermatology, LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

BARDIN DERMATOLOGY, LLC

Practice address

111 N Royal St
Deridder, LA 70634-3851

Phone

(504) 301-6621

NPI assigned

Mar 11, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Erin B Bardin, MDNPI 1871785279

Title

Sole Member / Owner

Phone

(504) 301-6621

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00027

Practitioners 1

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

• Erin Brooke Bardin, MD

  • Dermatology Physician
  • Fairhope, AL
  • NPI 1871785279

  LA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1376178137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2505 RAINWATER RD",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706343020",
            "telephone_number": "504-301-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N ROYAL ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706343851",
            "telephone_number": "504-301-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARDIN DERMATOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "BARDIN",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SOLE MEMBER / OWNER",
        "authorized_official_telephone_number": "504-301-6621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis J Amato, LAT, ATC
• James Christian Armetta, SLP.D.
• Ashley McCoy
• Erik Lewis Bailey, D.C.
• James M Bailey Jr., LPC
• Hannah Bearden
• Beauregard - Vernon MRI LLC
• Beauregard Arc
• Beauregard Arc
• Beauregard Arc

• Dermatology Physician in Deridder, LA
• Providers in Deridder, LA by specialty
• Dermatology Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.