Thomas J Braza, MD
Individual provider Active NPI MOHS-Micrographic Surgery Physician · Leland, NC
NPI 1699883124 · NPPES record last updated Nov 1, 2021
Key facts
- NPI
- 1699883124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- MOHS-Micrographic Surgery Physician 207ND0101X
- License
- 2012-00516 (NC)
- Practice address
- 144 Poole Rd Ste 101
Leland, NC 28451-9504 - Phone
- (910) 640-0899
- Fax
- (910) 256-6039
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Micrographic Dermatologic Surgery (MDS)
- Education
- Emory University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
144 Poole Rd
Suite 101
Leland, NC 28451-9504
Phone (910) 640-0899
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.75 of 100
- Quality
- 97.73
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 180 |
| Removal of skin lesions | 1544 |
| Removal of skin cancer | 875 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 704 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120629000287 | NC | Practitioner - Micrographic Dermatologic Surgery (MDS) |
3779584222 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046046 | GA | MD | MOHS-Micrographic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluewater Dermatology and Skin Cancer Center PA | Mohs-Micrographic Surgery | Current |
Accepting new patients |
| Associates in Dermatology, PLLC | Past |
Accepting new patients | |
| Dermatology Associates of Georgia, LLC | Past |
Accepting new patients |
Locations
144 Poole Rd
#101
Leland, NC 28451
Phone (910) 640-0899
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| MOHS-Micrographic Surgery Physician | 207ND0101X | 046046 | GA | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 2012-00516 | NC | Yes |
Addresses
Primary practice location
144 Poole Rd Ste 101
Leland, NC 28451-9504
Mailing address
144 Poole Rd Ste 101
Leland, NC 28451-9504
Phone (910) 640-0899
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11182034 | Other | NC | CAQH |
| 000212917A | Medicaid | GA |
Other providers in Leland, NC
- Asia A Boyd
- Joshua Levi Bradburn
- Kaylee Bradford
- Matthew Jordan Bradshaw
- Kaitlyn Marie Brannin
- Meghan Luisa Dalziel Brooks
- Kelly M Broussard
- Brunswick Surgery Center LLC
- Brunswick Urgent Care
- Eric Christopher Bryant
All providers in Leland, NC · MOHS-Micrographic Surgery Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.