BONDURANT DERMATOLOGY, PLC
NPI 1902636558
Dermatology in Bondurant, IA
About Bondurant Dermatology, Plc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BONDURANT DERMATOLOGY, PLC (NPI 1902636558) is a healthcare organization registered as a dermatology in Bondurant, Iowa and active in the NPI registry since August 2024. The organization lists Susan Peden, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bondurant Dermatology, Plc 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 Bondurant Dermatology, Plc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Bondurant Dermatology, Plc's NPI number?
The NPI number for Bondurant Dermatology, Plc is 1902636558. It was assigned to this organization in the NPPES registry on August 7, 2024.
Where is Bondurant Dermatology, Plc located?
Bondurant Dermatology, Plc is located at 88 Paine Cir Ste 4, Bondurant, IA 50035. The listed phone number is (515) 348-6383.
What is Bondurant Dermatology, Plc's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Bondurant Dermatology, Plc enrolled in Medicare?
Yes. Bondurant Dermatology, Plc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bondurant Dermatology, Plc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bondurant Dermatology, Plc. 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.
When was this NPI record last updated?
The NPPES record for Bondurant Dermatology, Plc was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.