BROOKWOOD DERMATOLOGY, PC – MOHS-Micrographic Surgery Physician, NPI 1487663266

BROOKWOOD DERMATOLOGY, PC is a healthcare provider. based in Birmingham, Alabama. specializing in MOHS-Micrographic Surgery Physician. The NPI Number for BROOKWOOD DERMATOLOGY, PC is 1487663266

Main info

Organization
Name
BROOKWOOD DERMATOLOGY, PC
NPI
1487663266
Phone
(205) 824-4441
Address
521 MONTGOMERY HWY
Authorized Official
DONALD W WALTERS OWNER
Enumeration Date
7 August 2006
Last Update Date
24 June 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for BROOKWOOD DERMATOLOGY, PC

  • Birmingham, Montgomery Place, New Manila, 4th District, Quezon City, Metro Manila, 1112, Philippines

    SUITE 117

    BIRMINGHAM, AL 352161878

    Phone: (205) 824-4441

    Fax: (205) 822-3978

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-09-30 (253 days ago).

Enrollment records

1

Earliest due date

2025-09-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20040311000242OClinic/Group PracticeAL2025-09-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35216)

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Reviews

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Frequently asked questions

What is BROOKWOOD DERMATOLOGY, PC's NPI number?
BROOKWOOD DERMATOLOGY, PC's NPI is 1487663266 — the number used across U.S. healthcare to identify this provider.
Is BROOKWOOD DERMATOLOGY, PC shown as active in public data?
Registry records indicate BROOKWOOD DERMATOLOGY, PC maintains an active NPI.
What expertise is attributed to BROOKWOOD DERMATOLOGY, PC?
BROOKWOOD DERMATOLOGY, PC's specialty line reads MOHS-Micrographic Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with BROOKWOOD DERMATOLOGY, PC?
Directory geography for BROOKWOOD DERMATOLOGY, PC centers on Birmingham, Alabama.
When was this NPI issued?
Enumeration for BROOKWOOD DERMATOLOGY, PC is noted as August 7, 2006 where the registry provides it.

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