Bondurant Dermatology, PLC
NPI 1902636558 · Dermatology Physician · Bondurant, IA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bondurant Dermatology, PLC is a Dermatology Physician organization in Bondurant, IA (NPI 1902636558).
Provider details
- NPI number
- 1902636558
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Peden, Owner(515) 205-4571
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
1 yr 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
- 2024-08-07
- Last updated
- 2024-11-20
- Certified
- 2024-11-20
Frequently asked questions
- What is Bondurant Dermatology, PLC's NPI number?
- Bondurant Dermatology, PLC's National Provider Identifier (NPI) is 1902636558, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bondurant Dermatology, PLC?
- Bondurant Dermatology, PLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Bondurant Dermatology, PLC located?
- Bondurant Dermatology, PLC's practice location on file with NPPES is 88 Paine Cir Ste 4, Bondurant, IA 50035-1449.
- What is Bondurant Dermatology, PLC's phone number?
- The practice phone number listed in the NPPES registry for Bondurant Dermatology, PLC is (515) 348-6383.
- Does Bondurant Dermatology, PLC accept Medicare?
- Bondurant Dermatology, PLC 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 Bondurant Dermatology, PLC?
- The authorized official listed on Bondurant Dermatology, PLC's NPPES record is Susan Peden, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bondurant Dermatology, PLC's NPI active?
- Yes — Bondurant Dermatology, PLC's NPI (1902636558) is active in the NPPES registry as of the last update on 2024-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.