Individual provider Active NPI

Bradley Saylors, M.D.

  • MOHS-Micrographic Surgery Physician
  • North Charleston, SC
National Provider Identifier
1609296698
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
SC84163 Issued in SC
Practice address
9295 Medical Plaza Dr # Ab
North Charleston, SC 29406-9137
Phone
(843) 797-3960
NPI assigned
Apr 17, 2014
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X SC84163 SC
MOHS-Micrographic Surgery Physician 207ND0101X SC84163 SC Primary

Addresses

Primary practice location

9295 Medical Plaza Dr # Ab
North Charleston, SC 29406-9137

Mailing address

9295 Medical Plaza Dr # Ab
North Charleston, SC 29406-9137
Phone (843) 797-3960

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
I20200602000384 SC Practitioner - Dermatology 5698067502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical University of South Carolina College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trident Dermatology PAGroup PAC ID 5092774034, 8 clinicians

Practice addresses (Care Compare)

9295 Medical Plaza Dr
Suite a
Charleston, SC 29406-9137
Phone (843) 797-3960

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision106
Removal of skin lesions319
Removal of skin cancer1178
Removal or shaving of skin growth58
Skin biopsy66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SC84163SCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trident Dermatology, PA Dermatology CurrentSince Aug 1, 2020 Accepting new patients
Alan T. Lewis LLC Dermatology PastSince Jul 1, 2018 Accepting new patients
Skin Cancer Center Inc Past Accepting new patients
Academic Dermatology Associates PastSince Mar 1, 1994 Accepting new patients

Locations

9295 Medical Plaza Dr
Ste A
Charleston, SC 29406
Phone (843) 797-3960

9295 Medical Plaza Dr
Ste B
Charleston, SC 29406
Phone (843) 797-3960

Interoperability endpoints

  • Direct secure messaging: bjsaylors@tridentdermatology.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1609296698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9295 MEDICAL PLAZA DR # AB",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069137",
            "telephone_number": "843-797-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9295 MEDICAL PLAZA DR # AB",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294069137",
            "telephone_number": "843-797-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYLORS",
        "first_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-17",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "SC84163",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "SC",
            "license": "SC84163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Charleston, SC

Sources for this page

Verify at the official NPI Registry.