Individual provider Active NPI

Brian Curtis Leach, M.D.

  • MOHS-Micrographic Surgery Physician
  • Charleston, SC
National Provider Identifier
1528096831
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
29232 Issued in SC
Practice address
135 Rutledge Avenue
Dept of Dermatology & Dermatologic Surgery
Charleston, SC 29425
Phone
(843) 792-3021
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 021882 LA
Dermatology Physician 207N00000X 29232 SC
MOHS-Micrographic Surgery Physician 207ND0101X 29232 SC Primary
Procedural Dermatology Physician 207NS0135X 29232 SC

Addresses

Primary practice location

135 Rutledge Avenue
Dept of Dermatology & Dermatologic Surgery
Charleston, SC 29425

Mailing address

135 Rutledge Avenue
Dept of Dermatology & Dermatologic Surgery
Charleston, SC 29425
Phone (853) 792-3021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20090729000575 SC Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 4183639743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
Tulane University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Surgery Center PAGroup PAC ID 3173599479, 72 clinicians

Practice addresses (Care Compare)

180 Wingo Way
Suite 202
Mt Pleasant, SC 29464-1811
Phone (843) 790-1777

Merit-based Incentive Payment System (MIPS)

Final score
90.65 of 100Reported as group
Promoting interoperability
89
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision68
Removal of tissue1-10
Removal of skin lesions32
Removal of skin cancer868
Skin biopsy37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021882LAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Surgery Center PA Mohs-Micrographic Surgery CurrentSince Oct 1, 2017 Accepting new patients
Skin Surgery Center PA Dermatology Past Accepting new patients

Locations

1450 Professional Park Dr
Ste 150
Winston Salem, NC 27103
Phone (336) 724-2434

1300 Hospital Dr
Ste 350
Mt Pleasant, SC 29464
Phone (843) 790-1777

180 Wingo Way
Ste 202
Mt Pleasant, SC 29464
Phone (843) 402-5283

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238112000000",
    "number": "1528096831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 RUTLEDGE AVENUE",
            "address_2": "DEPT OF DERMATOLOGY & DERMATOLOGIC SURGERY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29425",
            "telephone_number": "853-792-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 RUTLEDGE AVENUE",
            "address_2": "DEPT OF DERMATOLOGY & DERMATOLOGIC SURGERY",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29425",
            "telephone_number": "843-792-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEACH",
        "first_name": "BRIAN",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2009-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "021882",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "29232",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "SC",
            "license": "29232",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "SC",
            "license": "29232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.