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ST. LOUIS DERMATOLOGY & COSMETIC SURGERY
NPI 1134873185
Dermatology - MOHS-Micrographic Surgery in Troy, MO

Active since February 08, 2022CLIA Certified · 2 labs
520 E CHERRY ST, TROY, MO 63379(314) 834-1400(314) 834-1430 Get Directions Write a Review

NPPES record last updated: May 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 10, 2026, Nov 24, 2025, Nov 14, 2025 and 3 more (6 updates tracked since 2022).

About St. Louis Dermatology & Cosmetic Surgery NPPES

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

ST. LOUIS DERMATOLOGY & COSMETIC SURGERY (NPI 1134873185) is a healthcare organization registered as a mohs-micrographic surgery in Troy, Missouri and active in the NPI registry since February 2022. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Chesterfield, and lists Brandon Beal, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1134873185
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameST. LOUIS DERMATOLOGY & COSMETIC SURGERY
Location Address520 E CHERRY STTroy, MO 63379-1410
Mailing Address7354 Maryland AveSaint Louis, MO 63130-4201 · (314) 834-1400
Phone(314) 834-1400
Fax(314) 834-1430
Organization SubpartNo
Authorized OfficialBrandon BealMedical Director · (314) 422-6882
Enumeration DateFebruary 8, 2022
Last NPPES UpdateMay 10, 20266 updates tracked since enumeration
NPPES CertifiedMay 10, 2026
✔ NPI 1134873185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Also ListedDermatologyTaxonomy 207N00000X
Also ListedDermatology · DermatopathologyTaxonomy 207ND0900X
Also ListedDermatology · Pediatric DermatologyTaxonomy 207NP0225X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
520 E CHERRY ST, Troy, MO 63379
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Secondary Practice Location 1

Location 114377 Woodlake Dr Ste 111Chesterfield, MO 63017-5735 · Phone (314) 834-1400 · Fax (314) 834-1430

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 26D2345128

St Louis Dermatology & Cosmetic Surgery · Chesterfield, MO
Active · expires Jun 4, 2028
CLIA Number26D2345128
Laboratory TypePhysician Office
Certificate Effective DateJune 5, 2026
Certificate Expiration DateJune 4, 2028
Laboratory DirectorBrandon T. Beal
Laboratory Phone(314) 834-1400
Laboratory LocationSt Louis Dermatology & Cosmetic Surgery14377 Woodlake Dr Ste 111, Chesterfield, MO 63017
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.

Certificate of Compliance 26D2259782

St Louis Dermatology & Cosmetic Surgery · Troy, MO
Active · expires Apr 16, 2027
CLIA Number26D2259782
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorBrandon T. Beal
Laboratory Phone(314) 834-1400
Laboratory LocationSt Louis Dermatology & Cosmetic Surgery520 E Cherry St, Troy, MO 63379
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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TROY DERMATOLOGY SURGERY CENTER, LLC
Dermatology (MOHS-Micrographic Surgery)
520 E CHERRY ST
TROY, MO 63379
Lincoln County (314) 834-1400
MRS. JENNIFER LYNN SWOFFORD PA-C
Physician Assistant
520 E CHERRY ST
TROY, MO 63379
Lincoln County (314) 834-1400
KAYLEIGH NISSLE
Nurse Practitioner (Family)
520 E CHERRY ST
TROY, MO 63379
Lincoln County (314) 834-1400
BRANDON TYLER BEAL MD
Dermatology (MOHS-Micrographic Surgery)
520 E CHERRY ST
TROY, MO 63379
Lincoln County (314) 834-1400

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 St. Louis Dermatology & Cosmetic Surgery's NPI number?

The NPI number for St. Louis Dermatology & Cosmetic Surgery is 1134873185. It was assigned to this organization in the NPPES registry on February 8, 2022.

Where is St. Louis Dermatology & Cosmetic Surgery located?

St. Louis Dermatology & Cosmetic Surgery is located at 520 E Cherry St, Troy, MO 63379. The listed phone number is (314) 834-1400.

What is St. Louis Dermatology & Cosmetic Surgery's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does St. Louis Dermatology & Cosmetic Surgery hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does St. Louis Dermatology & Cosmetic Surgery accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list St. Louis Dermatology & Cosmetic Surgery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for St. Louis Dermatology & Cosmetic Surgery was last updated on May 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.