Advanced Dermatology & Cosmetic Institute P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MN28680 Issued in MN

Legal business name

ADVANCED DERMATOLOGY & COSMETIC INSTITUTE P.A.

Practice address

6525 Barrie Rd
Edina, MN 55435-2305

Phone

(952) 915-6000

Fax

(952) 915-6100

NPI assigned

Oct 4, 2006

Last updated

Aug 22, 2020By 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. Marie Elizabeth Briden, MDNPI 1548235872

Title

Ceo/Medical Director

Phone

(952) 915-6000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 3

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.

• Marie Elizabeth Briden, MD

  • Dermatology Physician
  • Edina, MN
  • NPI 1548235872
  Medicare reassignment Care Compare group Authorized official
• Denise L. Barnhardt, P.A.

  • Medical Physician Assistant
  • Edina, MN
  • NPI 1508898917
  Medicare reassignment Care Compare group
• Melissa Ann Waterman-Keinath, PA-C

  • Physician Assistant
  • Edina, MN
  • NPI 1902871759
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992890917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 BARRIE RD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352305",
            "telephone_number": "952-915-6000",
            "fax_number": "952-915-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 BARRIE RD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352305",
            "telephone_number": "952-915-6000",
            "fax_number": "952-915-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DERMATOLOGY & COSMETIC INSTITUTE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRIDEN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "952-915-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MN",
            "license": "MN28680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Edina, MN
• Providers in Edina, MN by specialty
• Dermatology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.