Nikoleta Brankov, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2025003838 Issued in MO

Practice address

12200 Weber Hill Rd Ste 200
Saint Louis, MO 63127-1569

Phone

(314) 842-5660

Fax

(314) 842-0169

NPI assigned

May 11, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, MO2 enrollments

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 2

Specialty

Dermatology

Education

Loma Linda University School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatological Care, Inc.Group PAC ID 1153303011, 11 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EDDGBA

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.

• Dermatological Care, Inc.

  • Dermatology Physician
  • Saint Louis, MO
  • NPI 1720005770
  Medicare reassignment Care Compare group NPD
• East Valley Dermatology Center

  • Dermatology Physician
  • Chandler, AZ
  • NPI 1366529836
  Medicare reassignment NPD
• East Valley Dermatology RX, LLC

  • Non-Pharmacy Dispensing Site
  • Chandler, AZ
  • NPI 1013312925

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1427404102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 WEBER HILL RD STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271569",
            "telephone_number": "314-842-5660",
            "fax_number": "314-842-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 WEBER HILL RD STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271569",
            "telephone_number": "314-842-5660",
            "fax_number": "314-842-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANKOV",
        "first_name": "NIKOLETA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "2025003838",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "64741",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "AZ",
            "license": "64741",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Brangle, MS, CCC-SLP
• Daphne Wang Branham, MD
• Meghann Elizabeth Branham, AGNP
• Nicholas Branham, DMD
• Sean Kelly Branham, D.C.
• Lindsey Branson
• Melissa Branson
• Sean Allen Brant, PA-C
• Sofia Jeanette Brant, PA
• Ashley Brantingham, MD

• Dermatology Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Dermatology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.