Individual provider Active NPI

Bruce K Barach, MD

  • Plastic Surgery Physician
  • Pawley's Island, SC
National Provider Identifier
1679563019
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
34698 Issued in SC
Practice address
14490 Ocean Hwy
Pawleys Island, SC 29585-4821
Phone
(843) 881-4440
Fax
(843) 314-0785
NPI assigned
Oct 26, 2005
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 34698 SC Primary

Addresses

Primary practice location

14490 Ocean Hwy
Pawleys Island, SC 29585-4821

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

1814 Crowne Commons Way Ste E7
Johns Island, SC 29455-4932
Phone (843) 881-4440

Other practice location 2

612 Seacoast Pkwy
MT Pleasant, SC 29464-8247
Phone (843) 881-4440

Other practice location 3

602 N Main St
Summerville, SC 29483-6627
Phone (843) 881-4440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100515000044 NY Practitioner - Plastic and Reconstructive Surgery 3870621667
I20210412000978 SC Practitioner - Plastic and Reconstructive Surgery 3870621667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
State University of Ny Upstate Medical University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

14490 Ocean Hwy
Pawleys Island, SC 29585-4821
Phone (843) 881-4440

Merit-based Incentive Payment System (MIPS)

Final score
97.45 of 100Reported as group
Promoting interoperability
97
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision341
Removal of skin lesions78
Removal or shaving of skin growth180
Skin biopsy25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34698SCMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Jun 7, 2024 Accepting new patients
Forefront Dermatology, S.C. Plastic Surgery CurrentSince Jun 7, 2024 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients

Locations

1814 Crowne Commons Way
Ste E7
Johns Island, SC 29455
Phone (843) 881-4440

612 Seacoast Pkwy
Mt Pleasant, SC 29464
Phone (843) 881-4440

612 Seacoast Pkwy
#201
Mt Pleasant, SC 29464
Phone (843) 881-4440

14490 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 545-8850

602 N Main St
Summerville, SC 29483
Phone (843) 876-2121

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

Bin 88617
Milwaukee, WI 53288

Interoperability endpoints

  • Direct secure messaging: bbarach@directaddress.net

Organizations & group practices 3

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1679563019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14490 OCEAN HWY",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295854821",
            "telephone_number": "843-881-4440",
            "fax_number": "843-314-0785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1814 Crowne Commons Way Ste E7",
            "address_purpose": "LOCATION",
            "city": "Johns Island",
            "state": "SC",
            "postal_code": "294554932",
            "country_code": "US",
            "telephone_number": "843-881-4440",
            "fax_number": "843-737-5288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 Seacoast Pkwy",
            "address_purpose": "LOCATION",
            "city": "MT Pleasant",
            "state": "SC",
            "postal_code": "294648247",
            "country_code": "US",
            "telephone_number": "843-881-4440",
            "fax_number": "843-884-8540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "602 N Main St",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294836627",
            "country_code": "US",
            "telephone_number": "843-881-4440",
            "fax_number": "843-225-0110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARACH",
        "first_name": "BRUCE",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "SC",
            "license": "34698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawley's Island, SC

Sources for this page

Verify at the official NPI Registry.