Alabama Skin Cancer & Aesthetic Center LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ALABAMA SKIN CANCER & AESTHETIC CENTER LLC

Practice address

1360 Montgomery Hwy Ste 114
Vestavia Hills, AL 35216-2750

Phone

(205) 379-0900

Fax

(205) 238-7900

NPI assigned

Dec 11, 2024

Organization subpart

No

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

Authorized official

Name

Daniel J Bergman, MDNPI 1053843169

Title

Owner

Phone

(205) 379-0900

Specialties & licenses 2

Addresses

Other names 1

• Elite Skin Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

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

Locations

Practitioners 4

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

• Daniel Bergman, MD

  • MOHS-Micrographic Surgery Physician
  • Vestavia Hills, AL
  • NPI 1053843169

  Dermatology

  Medicare reassignment Care Compare group NPD Authorized official
• Jo Lynne Herzog, MD

  • Dermatology Physician
  • Vestavia Hills, AL
  • NPI 1295828309
  Medicare reassignment Care Compare group NPD
• Angela Spears, CRNP

  • Family Nurse Practitioner
  • Vestavia Hills, AL
  • NPI 1053956094
  Medicare reassignment Care Compare group NPD
• Payton Patel, PA-C

  • Physician Assistant
  • Vestavia Hills, AL
  • NPI 1114629136
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1508673773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 MONTGOMERY HWY STE 114",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162750",
            "telephone_number": "205-379-0900",
            "fax_number": "904-590-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 MONTGOMERY HWY STE 114",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "352162750",
            "telephone_number": "205-379-0900",
            "fax_number": "205-238-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALABAMA SKIN CANCER & AESTHETIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-379-0900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Skin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Adkins, DPT
• Agilitas USA, Inc
• Barbara Aguilar
• Rana W Ahmad, DMD
• Alabama Child & Adolescent Counseling Services
• Align & Thrive Chiropractic LLC
• Tiffany Allen, RBT
• Rocklin D Alling, DDS
• Alma Counseling Services LLC
• Sarah Lynn Alvarez, OD

• Dermatology Physician in Vestavia Hills, AL
• Providers in Vestavia Hills, AL by specialty
• Dermatology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.