NPIMap

Individual provider Active NPI

Mary Miller Braden, MD

  • Dermatology Physician
  • Center Valley, PA
National Provider Identifier
1922327022
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD476513 Issued in PA
Practice address
5415 Lanark Rd
Center Valley, PA 18034-8693
Phone
(484) 526-1260
Fax
(833) 816-7511
NPI assigned
May 28, 2010
Last updated
May 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101251076 VA
Dermatology Physician 207N00000X MD476513 PA Primary
Dermatology Physician 207N00000X D89039 MD
Dermatopathology Physician 207ND0900X D89039 MD

Addresses

Primary practice location

5415 Lanark Rd
Center Valley, PA 18034-8693

Mailing address

801 Ostrum St
Bethlehem, PA 18015-1000

Other names 1

  • Mary Elizabeth Miller Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220613002021 PA Practitioner - Dermatology 4385962513 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of Ny Upstate Medical University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

5415 Lanark Rd
Center Valley, PA 18034-8693
Phone (484) 526-1260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision22
Removal of skin lesions330
Removal of nail tissue1-10
Skin biopsy214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D89039MDMDDermatology Physician
0101251076VAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Star Community Health, Inc CurrentSince Sep 1, 2022 Accepting new patients
Gslpg, Inc CurrentSince Jun 23, 2022 Accepting new patients
Anne Arundel Dermatology, PA Dermatology CurrentSince Aug 11, 2024 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince May 8, 2022 Accepting new patients
St. Luke's Physician Group, Inc Dermatology CurrentSince May 8, 2022 Accepting new patients
Star Community Health, Inc CurrentSince Sep 1, 2022 Accepting new patients
St. Luke's Physician Group Inc. Dermatology Past Accepting new patients

Locations

1306 Concourse Dr
Ste 201
Linthicum Heights, MD 21090

995 Prince Frederick Blvd
Ste 204
Prince Frederick, MD 20678
Phone (410) 535-5855

511 E 3rd St
Ste 200
Bethlehem, PA 18015
Phone (484) 526-4700

511 E 3rd St
Ste 301
Bethlehem, PA 18015
Phone (484) 526-2460

5415 Lanark Rd
Center Valley, PA 18034
Phone (484) 526-1260

1600 St Lukes Blvd
Ste 100
Easton, PA 18045
Phone (484) 526-1260

1600 St Lukes Blvd
Ste 102
Easton, PA 18045
Phone (484) 503-6647

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

Interoperability endpoints

  • Direct secure messaging: mary.braden@slpg.direct-sluhn.org

Organizations & group practices 8

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1922327022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 OSTRUM ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180151000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 LANARK RD",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348693",
            "telephone_number": "484-526-1260",
            "fax_number": "833-816-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADEN",
        "first_name": "MARY",
        "middle_name": "MILLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101251076",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD476513",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D89039",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "MD",
            "license": "D89039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "MILLER",
            "middle_name": "ELIZABETH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Center Valley, PA

Sources for this page

Verify at the official NPI Registry.