Bain Dermatology, P.a.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

2013-02484 Issued in NC

Legal business name

BAIN DERMATOLOGY, P.A.

Practice address

7200 Creedmoor Rd
Suite 104
Raleigh, NC 27613-1710

Phone

(919) 518-0999

Fax

(919) 518-0939

NPI assigned

May 14, 2014

Last updated

Sep 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Earl Eugene Bain III, M.D.NPI 1396970539

Title

Owner/Physician

Phone

(919) 518-0999

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Earl Eugene Bain III, MD

  • MOHS-Micrographic Surgery Physician
  • Raleigh, NC
  • NPI 1396970539
  Authorized official Same address or phone

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1740691674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 CREEDMOOR RD",
            "address_2": "SUITE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131710",
            "telephone_number": "919-518-0999",
            "fax_number": "919-518-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 CREEDMOOR RD",
            "address_2": "SUITE 104",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276131710",
            "telephone_number": "919-518-0999",
            "fax_number": "919-518-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAIN DERMATOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "BAIN",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "919-518-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NC",
            "license": "2013-02484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talia Bailey, BSW
• Trixy Baldwin Bailey, NCC, LPC, LCAS
• Bailey's Innovation Group (Mind Over Matters Counseling)
• Bailliard Henry Pediatric Cardiology
• Frederique C Bailliard, MD
• Clara Downing Bain, LCAS
• David Alfred Bain Jr., MA, CSAC, LCAS
• Earl Eugene Bain III, MD
• Elizabeth Bain, LCMHCA
• Casey Paul Baine, LCAS, LPCA

• MOHS-Micrographic Surgery Physician in Raleigh, NC
• Providers in Raleigh, 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 Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.