Bayside Dermatology PA
NPI 1215160312 · Dermatology Physician · Granbury, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bayside Dermatology PA is a Dermatology Physician organization in Granbury, TX (NPI 1215160312).
Provider details
- NPI number
- 1215160312
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Donald Brown, Owner/Principal(817) 573-1800
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-08-24
- Last updated
- 2026-06-04
- Certified
- 2026-06-04
Frequently asked questions
- What is Bayside Dermatology PA's NPI number?
- Bayside Dermatology PA's National Provider Identifier (NPI) is 1215160312, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bayside Dermatology PA?
- Bayside Dermatology PA is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Bayside Dermatology PA located?
- Bayside Dermatology PA's practice location on file with NPPES is 1321 Waters Edge Dr Ste 1006, Granbury, TX 76048-1234.
- What is Bayside Dermatology PA's phone number?
- The practice phone number listed in the NPPES registry for Bayside Dermatology PA is (817) 573-1800.
- Does Bayside Dermatology PA accept Medicare?
- Bayside Dermatology PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Bayside Dermatology PA?
- The authorized official listed on Bayside Dermatology PA's NPPES record is Donald Brown, Owner/Principal. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bayside Dermatology PA's NPI active?
- Yes — Bayside Dermatology PA's NPI (1215160312) is active in the NPPES registry as of the last update on 2026-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.