Bluewater Dermatology and Skin Cancer Center PA
NPI 1245751403 · MOHS-Micrographic Surgery Physician · Leland, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bluewater Dermatology and Skin Cancer Center PA is a MOHS-Micrographic Surgery Physician organization in Leland, NC (NPI 1245751403).
Provider details
- NPI number
- 1245751403
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thomas Braza, President(910) 640-0899
- License
- 2012-00516 (NC)
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
8 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
- 2017-06-28
- Last updated
- 2021-11-01
- Certified
- 2021-11-01
Frequently asked questions
- What is Bluewater Dermatology and Skin Cancer Center PA's NPI number?
- Bluewater Dermatology and Skin Cancer Center PA's National Provider Identifier (NPI) is 1245751403, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bluewater Dermatology and Skin Cancer Center PA?
- Bluewater Dermatology and Skin Cancer Center PA is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Bluewater Dermatology and Skin Cancer Center PA located?
- Bluewater Dermatology and Skin Cancer Center PA's practice location on file with NPPES is 144 Poole Rd Ste 101, Leland, NC 28451-9504.
- What is Bluewater Dermatology and Skin Cancer Center PA's phone number?
- The practice phone number listed in the NPPES registry for Bluewater Dermatology and Skin Cancer Center PA is (910) 262-1048.
- Does Bluewater Dermatology and Skin Cancer Center PA accept Medicare?
- Bluewater Dermatology and Skin Cancer Center 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 Bluewater Dermatology and Skin Cancer Center PA?
- The authorized official listed on Bluewater Dermatology and Skin Cancer Center PA's NPPES record is Thomas Braza, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bluewater Dermatology and Skin Cancer Center PA's NPI active?
- Yes — Bluewater Dermatology and Skin Cancer Center PA's NPI (1245751403) is active in the NPPES registry as of the last update on 2021-11-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.