Skip to content
NPISignal

Individual Healthcare Provider

Brian Wanner, D.O.

NPI Record: ActiveDermatology — MOHS-Micrographic Surgery
NPI1982137725
Mesa, Arizona

Provider's NPPES record last updated: June 21, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1982137725
Primary Specialty
Dermatology — MOHS-Micrographic Surgery
Practice Location
Mesa, Arizona
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 3:40 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Dermatology

    MOHS-Micrographic Surgery

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 207ND0101X

Provider-Reported License Information

Dermatology (South Carolina)
83813
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

2250 W Southern Ave Ste 102

Mesa, Arizona 85202-4736

Phone: (480) 835-5532

Additional Practice Location

1409 N. Fant Street

Anderson, South Carolina 29621

Phone: (864) 375-7551

Fax: (864) 231-8073

Additional Practice Location

485 Tom Hall St Ste 101

Fort Mill, South Carolina 29715-2353

Phone: (803) 659-3671

Record Information

Enumeration Date
April 8, 2017
Provider's NPPES Record Last Updated
June 21, 2024
Certification Date
June 21, 2024
NPISignal NPPES Dataset
August 2026

See Something Wrong?

Incorrect provider information

Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.

Update a record through NPPES

Something wrong with this page?

If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.

Report a display issue