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BASE DERMATOLOGY, PC
NPI 1902672652
Dermatology - MOHS-Micrographic Surgery in Royal Oak, MI

Active since December 04, 2023CLIA 23D0866065 · Certificate of Compliance
27776 WOODWARD AVE, ROYAL OAK, MI 48067(248) 355-5047(248) 355-3511 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2025, Dec 4, 2023 (2 updates tracked since 2023).

About Base Dermatology, Pc NPPES

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

BASE DERMATOLOGY, PC (NPI 1902672652) is a healthcare organization registered as a mohs-micrographic surgery in Royal Oak, Michigan and active in the NPI registry since December 2023. The organization holds a CLIA Certificate of Compliance certificate valid through November 8, 2026 and lists Bryan Sofen, Owner, as its authorized official.

NPPES Registry Identity

NPI1902672652
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameBASE DERMATOLOGY, PC
Location Address27776 WOODWARD AVERoyal Oak, MI 48067-0930
Mailing Address25504 Sherwood DrHuntington Woods, MI 48070-1752 · (248) 563-2489
Phone(248) 355-5047
Fax(248) 355-3511
Organization SubpartNo
Authorized OfficialBryan SofenOwner · (248) 563-2489
Enumeration DateDecember 4, 2023
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
✔ NPI 1902672652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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
27776 WOODWARD AVE, Royal Oak, MI 48067
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Other Identifiers 1

Other1043452139MI · Personal Npi

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 Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 23D0866065

Base Dermatology, PC · Royal Oak, MI
Active · expires Nov 8, 2026
CLIA Number23D0866065
Laboratory TypePhysician Office
Certificate Effective DateNovember 9, 2024
Certificate Expiration DateNovember 8, 2026
Laboratory DirectorBryan D. Sofen
Laboratory Phone(248) 355-5047
Laboratory LocationBase Dermatology, PC27776 Woodward Ave, Royal Oak, MI 48067
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 5

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

DR. BRYAN DANIEL SOFEN M.D.
Dermatology (MOHS-Micrographic Surgery)
27776 WOODWARD AVE
ROYAL OAK, MI 48067
Oakland County (248) 355-5047
COVENANT COMMUNITY CARE, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
27776 WOODWARD AVE
ROYAL OAK, MI 48067
Oakland County (248) 556-4900
DR. MARLA NICOLE JAHNKE MD
Dermatology (Pediatric Dermatology)
27776 WOODWARD AVE
ROYAL OAK, MI 48067
Oakland County (313) 451-0090
MARIA C MASSOS LLMSW
Social Worker (Clinical)
27776 WOODWARD AVE
ROYAL OAK, MI 48067
Oakland County (248) 556-4909
MICHELLE N MCCLORY LCSW
Social Worker (Clinical)
27776 WOODWARD AVE
ROYAL OAK, MI 48067
Oakland County (248) 556-4900

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 Base Dermatology, PC's NPI number?

The NPI number for Base Dermatology, PC is 1902672652. It was assigned to this organization in the NPPES registry on December 4, 2023.

Where is Base Dermatology, PC located?

Base Dermatology, PC is located at 27776 Woodward Ave, Royal Oak, MI 48067. The listed phone number is (248) 355-5047.

What is Base Dermatology, PC's specialty?

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

Does Base Dermatology, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 23D0866065) is associated with this NPI, valid through November 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Base Dermatology, PC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Base Dermatology, PC 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 Base Dermatology, PC was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.