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BLUEWATER DERMATOLOGY AND SKIN CANCER CENTER PA
NPI 1245751403
Dermatology - MOHS-Micrographic Surgery in Leland, NC

Active since June 28, 2017CLIA 34D2134290 · Certificate of Compliance
144 POOLE RD STE 101, LELAND, NC 28451(910) 262-1048(910) 256-6039 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 1, 2021, Jun 28, 2017 (2 updates tracked since 2017).

About Bluewater Dermatology And Skin Cancer Center Pa NPPES

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

BLUEWATER DERMATOLOGY AND SKIN CANCER CENTER PA (NPI 1245751403) is a healthcare organization registered as a mohs-micrographic surgery in Leland, North Carolina and active in the NPI registry since June 2017. The organization holds a CLIA Certificate of Compliance certificate valid through June 11, 2027 and lists Thomas J Braza, President, as its authorized official.

NPPES Registry Identity

NPI1245751403
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameBLUEWATER DERMATOLOGY AND SKIN CANCER CENTER PA
Location Address144 POOLE RD STE 101Leland, NC 28451-9504
Mailing Address144 Poole Rd Ste 101Leland, NC 28451-9504 · (910) 262-1048 · Fax (910) 256-6039
Phone(910) 262-1048
Fax(910) 256-6039
Organization SubpartNo
Authorized OfficialThomas J BrazaPresident · (910) 640-0899
Enumeration DateJune 28, 2017
Last NPPES UpdateNovember 1, 20212 updates tracked since enumeration
NPPES CertifiedNovember 1, 2021
✔ NPI 1245751403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License✔ Licensed in NC · 2012-00516
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.
144 POOLE RD STE 101, Leland, NC 28451
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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 34D2134290

Bluewater Dermatology And Skin Cancer Center, PA · Leland, NC
Active · expires Jun 11, 2027
CLIA Number34D2134290
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorThomas J. Braza
Laboratory Phone(910) 640-0899
Laboratory LocationBluewater Dermatology And Skin Cancer Center, PA144 Poole Road, Suite 101, Leland, NC 28451
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

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

THOMAS J BRAZA MD
Dermatology (MOHS-Micrographic Surgery)
144 POOLE RD STE 101
LELAND, NC 28451
Brunswick County (910) 640-0899

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 Bluewater Dermatology And Skin Cancer Center PA's NPI number?

The NPI number for Bluewater Dermatology And Skin Cancer Center PA is 1245751403. It was assigned to this organization in the NPPES registry on June 28, 2017.

Where is Bluewater Dermatology And Skin Cancer Center PA located?

Bluewater Dermatology And Skin Cancer Center PA is located at 144 Poole Rd Ste 101, Leland, NC 28451. The listed phone number is (910) 262-1048.

What is Bluewater Dermatology And Skin Cancer Center PA's specialty?

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

Does Bluewater Dermatology And Skin Cancer Center PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 34D2134290) is associated with this NPI, valid through June 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bluewater Dermatology And Skin Cancer Center PA accept?

Health plans from Blue Cross and Blue Shield of NC list Bluewater Dermatology And Skin Cancer Center PA 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 Bluewater Dermatology And Skin Cancer Center PA was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.