Individual provider Active NPI

Leslie Brooke Mills, DO

  • Dermatology Physician
  • Bowling Green, KY
National Provider Identifier
1497000723
Registry record updated Jun 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
05076 Issued in KY
Practice address
1818 Wallace CT Ste 301
Bowling Green, KY 42103-2462
Phone
(270) 842-1999
Fax
(270) 904-4113
NPI assigned
Jul 24, 2012
Last updated
Jun 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 05076 KY Primary

Addresses

Primary practice location

1818 Wallace CT Ste 301
Bowling Green, KY 42103-2462

Mailing address

1818 Wallace CT Ste 301
Bowling Green, KY 42103-2462
Phone (270) 842-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20210722003956 KY Practitioner - Dermatology 7012268089 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kentucky Skin Cancer Center PLLCGroup PAC ID 2668729336, 12 clinicians

Practice addresses (Care Compare)

1818 Wallace CT
Suite 301
Bowling Green, KY 42103-2462
Phone (270) 842-1999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions402
Removal or shaving of skin growth25
Skin biopsy202

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Center of Owensboro PLLC Dermatology CurrentSince Aug 1, 2021 Accepting new patients
Kentucky Skin Cancer Center PLLC CurrentSince Aug 4, 2025 Accepting new patients

Locations

1818 Wallace Ct
#301
Bowling Green, KY 42103
Phone (270) 842-1999

1100 Brookhaven Rd
Franklin, KY 42134
Phone (270) 586-3253

401 S L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 261-5640

2200 E Parrish Ave
Bldg E
Owensboro, KY 42303
Phone (270) 663-1304

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748736000000",
    "number": "1497000723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 WALLACE CT STE 301",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421032462",
            "telephone_number": "270-842-1999",
            "fax_number": "270-904-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 WALLACE CT STE 301",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421032462",
            "telephone_number": "270-842-1999",
            "fax_number": "270-904-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "LESLIE",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2025-06-01",
        "certification_date": "2025-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "05076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.