Active NPI
Bryan David Sands, DO
- Dermatology Physician
- Waterloo, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 02896
- Practice address
- 3812 Pheasant LN
Waterloo, IA 50701-5200 - Phone
- (319) 236-3444
- Fax
- (319) 236-0257
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 02896 | IA | Primary |
Addresses
Primary practice location
3812 Pheasant LN
Waterloo, IA 50701-5200
Mailing address
3812 Pheasant LN
Waterloo, IA 50701-5200
Phone (319) 236-3444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070010603 | Other | IA | RR MDCR |
| 0151738 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3812 Pheasant LN
Waterloo, IA 50701-5200
Phone (319) 236-3444
Hospital & facility affiliations
- Sartori Memorial Hospital, Inc
- Allen Hospital
- Mercyone Waterloo Medical Center
- Waverly Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.81 of 100
- Quality
- 95.62
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 197 |
| Removal or shaving of skin growth | 22 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02896 | IA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Associates PC | Dermatology | Current | Accepting new patients |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
220 Southbrooke Dr
Waterloo, IA 50702
Phone (319) 236-7720
3812 Pheasant Ln
Waterloo, IA 50701
Phone (319) 236-3444
Organizations & group practices 2
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.
-
- Dermatology Physician
- Waterloo, IA
- NPI 1629032404
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterloo, IA
- NPI 1336231091
-
- General Acute Care Hospital
- Waterloo, IA
- NPI 1700827896
-
- General Acute Care Hospital
- Cedar Falls, IA
- NPI 1942241955
-
- Critical Access Hospital
- Waverly, IA
- NPI 1447299953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1770548570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3812 PHEASANT LN",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507015200",
"telephone_number": "319-236-3444",
"fax_number": "319-236-0257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3812 PHEASANT LN",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507015200",
"telephone_number": "319-236-3444",
"fax_number": "319-236-0257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDS",
"first_name": "BRYAN",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-18",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IA",
"license": "02896",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MDCR",
"identifier": "070010603",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0151738",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.