Thomas J Braza, MD

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

2012-00516 Issued in 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

Last updated

Nov 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Micrographic Dermatologic Surgery (MDS)Also: Dermatology

Education

Emory University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.75 of 100Reported as individual

Quality

97.73

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Bluewater Dermatology and Skin Cancer Center PA

  • MOHS-Micrographic Surgery Physician
  • Leland, NC
  • NPI 1245751403
  Medicare reassignment NPD Authorized official
• Associates in Dermatology, PLLC

  • Dermatology Physician
  • Louisville, KY
  • NPI 1629083399
  NPD (past)
• Dermatology Associates of Georgia, LLC

  • Specialist
  • Decatur, GA
  • NPI 1063560803
  NPD (past)

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1699883124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 POOLE RD STE 101",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284519504",
            "telephone_number": "910-640-0899",
            "fax_number": "910-256-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 POOLE RD STE 101",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284519504",
            "telephone_number": "910-640-0899",
            "fax_number": "910-256-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZA",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "GA",
            "license": "046046",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NC",
            "license": "2012-00516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11182034",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000212917A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Asia A Boyd, D.D.S.
• Joshua Levi Bradburn, D.C.
• Kaylee Bradford, DMD
• Matthew Jordan Bradshaw, DC
• Kaitlyn Marie Brannin
• Meghan Luisa Dalziel Brooks, O.D.
• Kelly M Broussard, DPT
• Brunswick Surgery Center LLC
• Brunswick Urgent Care
• Eric Christopher Bryant, OD

• MOHS-Micrographic Surgery Physician in Leland, NC
• Providers in Leland, NC by specialty
• MOHS-Micrographic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.