Individual provider Active NPI

Brian Bishop, M.D., MPH

  • MOHS-Micrographic Surgery Physician
  • Lakewood Ranch, FL
National Provider Identifier
1982053419
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
ME150121 Issued in FL
Practice address
8926 77TH Ter E Unit 101
Lakewood Ranch, FL 34202-6417
Phone
(941) 907-0222
Fax
(941) 907-0493
NPI assigned
Jun 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME150121 FL
MOHS-Micrographic Surgery Physician 207ND0101X ME150121 FL Primary

Addresses

Primary practice location

8926 77TH Ter E Unit 101
Lakewood Ranch, FL 34202-6417

Mailing address

4725 N Federal Hwy
Fort Lauderdale, FL 33308-4603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210422000468 FL Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 3870860844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
University of Miami, LM Miller School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emily F Arsenault MD PAGroup PAC ID 9739106584, 24 clinicians

Practice addresses (Care Compare)

8926 77TH Ter E
Unit 101
Lakewood Ranch, FL 34202-6417
Phone (941) 907-0222

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision143
Removal of skin lesions61
Removal of skin cancer1292
Removal or shaving of skin growth1-10
Skin biopsy99

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emily F Arsenault MD PA Dermatology CurrentSince Apr 12, 2021 Accepting new patients
Skin Cancer Center Inc Past Accepting new patients

Locations

8926 77th Ter E
Unit 101
Lakewood Ranch, FL 34202
Phone (941) 907-0222

5860 Ranch Lake Blvd
Ste 103
Lakewood Ranch, FL 34202
Phone (941) 907-0222

Networks

  • Freedom Health HMO Network

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.

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1982053419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333084603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8926 77TH TER E UNIT 101",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342026417",
            "telephone_number": "941-907-0222",
            "fax_number": "941-907-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "BRIAN",
        "credential": "M.D., MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-06",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME150121",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "FL",
            "license": "ME150121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.