OrganizationActive
Dermatology Clinic of Muncie, Inc.
NPI 1477647303 · Dermatology Physician · Muncie, IN
Provider details
- NPI number
- 1477647303
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Bartholome, President(765) 288-8188
- License
- 50001481A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1808 W Royale Dr
Muncie, IN 47304-2243
Phone: (765) 288-8188
Fax: (765) 282-7242
Street-level locationGet directions
Mailing address
1808 W Royale Dr
Muncie, IN 47304-2243
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2007-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.