BRENHAM DERMATOLOGY PLLC
NPI 1104149012
Dermatology in Brenham, TX

Active since March 05, 2010CLIA 45D2097493 · Certificate of Compliance
1910 NIEBUHR, BRENHAM, TX 77833(979) 353-4267 Get Directions Write a Review

NPPES record last updated: August 25, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brenham Dermatology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENHAM DERMATOLOGY PLLC (NPI 1104149012) is a healthcare organization registered as a dermatology in Brenham, Texas and active in the NPI registry since March 2010. The organization holds a CLIA Certificate of Compliance certificate valid through March 6, 2027 and lists Christy A Woodruff, Owner, as its authorized official.

NPPES Registry Identity

NPI1104149012
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBRENHAM DERMATOLOGY PLLC
Location Address1910 NIEBUHRBrenham, TX 77833-5037
Mailing Address1910 Niebuhr StBrenham, TX 77833-5037 · (979) 353-4267
Organization SubpartNo
Authorized OfficialChristy A WoodruffOwner · (979) 353-4267
Enumeration DateMarch 5, 2010
Last NPPES UpdateAugust 25, 2011
NPI 1104149012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in TX · L2758
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1910 NIEBUHR, Brenham, TX 77833

Other Identifiers 1

Medicare UPINH81647TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 45D2097493

Brenham Dermatology · Brenham, TX
Active · expires Mar 6, 2027
CLIA Number45D2097493
Laboratory TypePhysician Office
Certificate Effective DateMarch 7, 2025
Certificate Expiration DateMarch 6, 2027
Laboratory DirectorArash Kimyai-Asadi
Laboratory Phone(979) 353-4267
Laboratory LocationBrenham Dermatology1910 Niebuhr Street, Brenham, TX 77833
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenham Dermatology PLLC's NPI number?

The NPI number for Brenham Dermatology PLLC is 1104149012. It was assigned to this organization in the NPPES registry on March 5, 2010.

Where is Brenham Dermatology PLLC located?

Brenham Dermatology PLLC is located at 1910 Niebuhr, Brenham, TX 77833. The listed phone number is (979) 353-4267.

What is Brenham Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Brenham Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 45D2097493) is associated with this NPI, valid through March 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brenham Dermatology PLLC was last updated on August 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.