Individual provider Active NPI

Laura Dennison Briley, MD

  • Dermatology Physician
  • Raleigh, NC
National Provider Identifier
1891994554
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2009-00123 Issued in NC
Practice address
4201 Lake Boone TRL
Suite 200
Raleigh, NC 27607-7512
Phone
(919) 782-2152
Fax
(919) 782-7929
NPI assigned
Jul 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2009-00123 NC Primary

Addresses

Primary practice location

4201 Lake Boone TRL
Suite 200
Raleigh, NC 27607-7512

Mailing address

4201 Lake Boone TRL
Suite 200
Raleigh, NC 27607-7512
Phone (919) 782-2152

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090630000631 NC Practitioner - Dermatology 2264583327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Brody School of Medicine at East Carolina University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Dermatology PAGroup PAC ID 7012971609, 52 clinicians

Practice addresses (Care Compare)

4201 Lake Boone TRL
Suite 200
Raleigh, NC 27607-7511
Phone (919) 782-2152

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision14
Removal of skin lesions1098
Removal of nail tissue1-10
Removal or shaving of skin growth22
Skin biopsy151

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009-00123NCMDDermatology Physician
00123NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Dermatology, P.a. CurrentSince Jul 10, 2009 Accepting new patients
Raleigh Dermatology Associates PA Dermatology PastSince Apr 21, 1994 Accepting new patients
Anne Arundel Dermatology Affiliates PC Dermatology Past Accepting new patients

Locations

6701 Carmel Rd
Ste 116
Charlotte, NC 28226
Phone (980) 327-1010

4201 Lake Boone Trl
Ste 200
Raleigh, NC 27607
Phone (919) 782-2152

800 Springfield Commons Dr
Ste 115
Raleigh, NC 27609
Phone (919) 876-3656

123 Fox Rd
Knoxville, TN 37922
Phone (865) 342-5811

Interoperability endpoints

  • Direct secure messaging: lbriley@aadermaffiliates.emadirect.md

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355270400000",
    "number": "1891994554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 LAKE BOONE TRL",
            "address_2": "SUITE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077512",
            "telephone_number": "919-782-2152",
            "fax_number": "919-782-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 LAKE BOONE TRL",
            "address_2": "SUITE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077512",
            "telephone_number": "919-782-2152",
            "fax_number": "919-782-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRILEY",
        "first_name": "LAURA",
        "middle_name": "DENNISON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-13",
        "last_updated": "2012-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2009-00123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.