1. Home
  2. Directory
  3. Ohio
  4. Holland
  5. Dermatology
  6. NPI Profile

BRAVIA DERMATOLOGY
NPI 1356884837
Dermatology in Holland, OH

Active since December 01, 2016CLIA Certified · 2 labs
7050 SPRING MDWS DR W, HOLLAND, OH 43528(419) 948-3376(419) 665-3632 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 18, 2024, Oct 5, 2018, Jan 17, 2017 (3 updates tracked since 2017).

About Bravia Dermatology NPPES

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

BRAVIA DERMATOLOGY (NPI 1356884837) is a healthcare organization registered as a dermatology in Holland, Ohio and active in the NPI registry since December 2016. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Defiance, and lists Matthew A Molenda, Owner, as its authorized official.

NPPES Registry Identity

NPI1356884837
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBRAVIA DERMATOLOGY GROUP, LLC
Location Address7050 SPRING MDWS DR WHolland, OH 43528-7203
Mailing Address7050 Spring Mdws Dr WHolland, OH 43528-7203 · (419) 948-3376 · Fax (419) 665-3632
Phone(419) 948-3376
Fax(419) 665-3632
Organization SubpartNo
Authorized OfficialMatthew A MolendaOwner · (419) 948-3376
Enumeration DateDecember 1, 2016
Last NPPES UpdateApril 18, 20243 updates tracked since enumeration
NPPES CertifiedApril 18, 2024
✔ NPI 1356884837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
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.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X
7050 SPRING MDWS DR W, Holland, OH 43528
Open in Google Maps ↗

Other Names 1

Doing Business AsBravia Dermatology

Secondary Practice Location 1

Location 11490 Pinehurst DrDefiance, OH 43512-8670 · Phone (419) 948-3376 · Fax (419) 665-3632

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bravia Dermatology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bravia Dermatology, which bills Medicare for the services this clinician delivers.

Clinician (1)

Matthew Molenda, M.D.
Dermatology
NPI 1164621579
2000 REGENCY CT STE 201
Toledo, OH 43623
(419) 948-3376
✔ PECOS✔ Accepts Medicare7.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 36D2145976

Bravia Dermatology Group, LLC - Defiance · Defiance, OH
Active · expires Jun 24, 2028
CLIA Number36D2145976
Laboratory TypePhysician Office
Certificate Effective DateJune 25, 2026
Certificate Expiration DateJune 24, 2028
Laboratory DirectorMatthew A. Molenda
Laboratory Phone(419) 948-3376
Laboratory LocationBravia Dermatology Group, LLC - Defiance1490 Pinehurst Dr, Defiance, OH 43512
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 36D2067195

Bravia Dermatology Group, LLC - Holland · Holland, OH
Active · expires Feb 18, 2028
CLIA Number36D2067195
Laboratory TypePhysician Office
Certificate Effective DateFebruary 19, 2026
Certificate Expiration DateFebruary 18, 2028
Laboratory DirectorMatthew A. Molenda
Laboratory Phone(419) 948-3376
Laboratory LocationBravia Dermatology Group, LLC - Holland7050 Spring Meadows Drive West, Holland, OH 43528
CLIA data matches this NPI record on: 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 Bravia Dermatology Group, LLC's NPI number?

The NPI number for Bravia Dermatology Group, LLC is 1356884837. It was assigned to this organization in the NPPES registry on December 1, 2016. The provider is doing business as Bravia Dermatology.

Where is Bravia Dermatology Group, LLC located?

Bravia Dermatology Group, LLC is located at 7050 Spring Mdws Dr W, Holland, OH 43528. The listed phone number is (419) 948-3376.

What is Bravia Dermatology Group, LLC's specialty?

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

Is Bravia Dermatology Group, LLC enrolled in Medicare?

Yes. Bravia Dermatology Group, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bravia Dermatology Group, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Bravia Dermatology Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bravia Dermatology Group, LLC 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 Bravia Dermatology Group, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Bravia Dermatology Group, LLC 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 Bravia Dermatology Group, LLC was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.