ALABAMA SKIN CANCER & AESTHETIC CENTER LLC
NPI 1508673773
Dermatology in Vestavia Hills, AL

Active since December 11, 2024CLIA Certified · 2 labs
1360 MONTGOMERY HWY STE 114, VESTAVIA HILLS, AL 35216(205) 379-0900(205) 238-7900 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 25, 2025, Dec 11, 2024 (2 updates tracked since 2024).

About Alabama Skin Cancer & Aesthetic Center Llc NPPES

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

ALABAMA SKIN CANCER & AESTHETIC CENTER LLC (NPI 1508673773), doing business as Elite Skin, is a healthcare organization registered as a dermatology in Vestavia Hills, Alabama and active in the NPI registry since December 2024. The organization holds 2 active CLIA laboratory certificates and lists Daniel J Bergman, Owner, as its authorized official.

NPPES Registry Identity

NPI1508673773
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameALABAMA SKIN CANCER & AESTHETIC CENTER LLC
Location Address1360 MONTGOMERY HWY STE 114Vestavia Hills, AL 35216-2750
Mailing Address1360 Montgomery Hwy Ste 114Vestavia Hills, AL 35216-2750 · (205) 379-0900 · Fax (904) 590-8291
Fax(205) 238-7900
Organization SubpartNo
Authorized OfficialDaniel J BergmanOwner · (205) 379-0900
Enumeration DateDecember 11, 2024
Last NPPES UpdateApril 23, 20252 updates tracked since enumeration
NPPES CertifiedApril 23, 2025
NPI 1508673773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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
1360 MONTGOMERY HWY STE 114, Vestavia Hills, AL 35216

Other Names 1

Doing Business AsElite Skin

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

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 01D2316463

Alabama Skin Cancer & Aesthetic Center · Vestavia Hills, AL
Active · expires Nov 20, 2027
CLIA Number01D2316463
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorDaniel J. Bergman
Laboratory Phone(205) 379-0900
Laboratory LocationAlabama Skin Cancer & Aesthetic Center1360 Montgomery Highway Ste 114, Vestavia Hills, AL 35216
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 01D2334115

Alabama Skin Cancer & Aesthetic · Montgomery, AL
Active · expires Nov 13, 2027
CLIA Number01D2334115
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2025
Certificate Expiration DateNovember 13, 2027
Laboratory DirectorDaniel J. Bergman
Laboratory Phone(205) 379-0900
Laboratory LocationAlabama Skin Cancer & Aesthetic7201 Copperfield Drive, Montgomery, AL 36117
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.

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.

Nurse Practitioner (Family)
1360 MONTGOMERY HWY STE 114
VESTAVIA HILLS, AL 35216
Physician Assistant
1360 MONTGOMERY HWY STE 114
VESTAVIA HILLS, AL 35216
Dermatology
1360 MONTGOMERY HWY STE 114
VESTAVIA HILLS, AL 35216
Dermatology (MOHS-Micrographic Surgery)
1360 MONTGOMERY HWY STE 114
VESTAVIA HILLS, AL 35216

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 Alabama Skin Cancer & Aesthetic Center LLC's NPI number?

The NPI number for Alabama Skin Cancer & Aesthetic Center LLC is 1508673773. It was assigned to this organization in the NPPES registry on December 11, 2024. The provider is doing business as Elite Skin.

Where is Alabama Skin Cancer & Aesthetic Center LLC located?

Alabama Skin Cancer & Aesthetic Center LLC is located at 1360 Montgomery Hwy Ste 114, Vestavia Hills, AL 35216. The listed phone number is (205) 379-0900.

What is Alabama Skin Cancer & Aesthetic Center LLC's specialty?

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

Does Alabama Skin Cancer & Aesthetic Center 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 Alabama Skin Cancer & Aesthetic Center LLC accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Alabama Skin Cancer & Aesthetic Center 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 Alabama Skin Cancer & Aesthetic Center LLC was last updated on April 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.