Base Dermatology, PC
Base Dermatology, PC is a healthcare organization registered as MOHS-Micrographic Surgery Physician in Royal Oak, MI, holding Type 2 (organization) NPI 1902672652 since 2023. The authorized official on file is Bryan Sofen, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1902672652 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Base Dermatology, PC |
| Practice address | 27776 WOODWARD AVE, Royal Oak, MI, 48067 |
| Phone | 2483555047 |
| Fax | 2483553511 |
| Enumeration date | 2023-12-04 |
| Last updated in NPPES | 2025-07-01 |
Authorized official
| Name | Bryan Sofen |
|---|---|
| Title | Owner |
| Phone | 2485632489 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207N00000X | Dermatology Physician | Secondary | — | — |
| 207ND0101X | MOHS-Micrographic Surgery Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043452139 | Other | MI | PERSONAL NPI |
Copy-ready billing details
Provider: Base Dermatology, PC NPI: 1902672652 Taxonomy: 207ND0101X (MOHS-Micrographic Surgery Physician) Address: 27776 WOODWARD AVE, Royal Oak, MI, 48067
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1770776130 | Maria Massos | Individual | Clinical Social Worker | Royal Oak, MI |
| 1043452139 | Bryan Sofen | Individual | MOHS-Micrographic Surgery Physician | Royal Oak, MI |
| 1518195981 | Marla Jahnke | Individual | Pediatric Dermatology Physician | Royal Oak, MI |
| 1073834818 | Covenant Community Care, Inc. | Organization | Federally Qualified Health Center (FQHC) | Royal Oak, MI |
| 1821479601 | Michelle Mcclory | Individual | Clinical Social Worker | Royal Oak, MI |
Verify this record
Cross-check NPI 1902672652 against the authoritative CMS record: view Base Dermatology, PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Base Dermatology, PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-01.