Individual provider Active NPI

David B Schulman, M.D.

  • Dermatology Physician
  • Charlotte, NC
National Provider Identifier
1679553754
Registry record updated Nov 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
151111 Issued in NC
Practice address
10370 Park Rd
Suite 201
Charlotte, NC 28210-8508
Phone
(704) 542-3003
Fax
(704) 542-3040
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2012

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 201827 NY
Dermatology Physician 207N00000X 151111 NC Primary

Addresses

Primary practice location

10370 Park Rd
Suite 201
Charlotte, NC 28210-8508

Mailing address

6410 Glynmoor Lakes Dr
Charlotte, NC 28277-4552
Phone (704) 542-3003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20081205000301 NC Practitioner - Dermatology 4385705631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
New York University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Charlotte Dermatology, PCGroup PAC ID 1456412709, 2 clinicians

Practice addresses (Care Compare)

10370 Park Rd
Suite 201
Charlotte, NC 28210-8509
Phone (704) 542-3003

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1635
Removal or shaving of skin growth73
Skin biopsy114

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
151111NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
South Charlotte Dermatology, PC Dermatology CurrentSince Oct 15, 2008 Accepting new patients

Locations

10370 Park Rd
Ste 201
Charlotte, NC 28210
Phone (704) 542-3003

Interoperability endpoints

  • Direct secure messaging: davidschulman@scd.allscriptsdirect.net

Organizations & group practices 1

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353369600000",
    "number": "1679553754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 GLYNMOOR LAKES DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774552",
            "telephone_number": "704-542-3003",
            "fax_number": "704-542-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10370 PARK RD",
            "address_2": "SUITE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108508",
            "telephone_number": "704-542-3003",
            "fax_number": "704-542-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULMAN",
        "first_name": "DAVID",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2012-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "201827",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "151111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.