Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bishr Al Dabagh, MD

Individual provider Dermatology Physician · NPI 1154565661

Bishr Al Dabagh, MD is a Micrographic Dermatologic Surgery (Mds) in Mooresville, North Carolina. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2009, 17 years ago. Practices with Fora Dermatology PLLC, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona, California, Florida and Hawaii and 2 more.

Years since qualifying
17
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
AZ, CA, FL, HI, MI, NC
In the registry since
2009
Specialties on file
8
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

118 Gateway Blvd Ste A
Mooresville, NC 28117-6542
Phone: (704) 230-1302
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 316 Paseo Reyes Dr, St Augustine, FL 32095-8464 — (904) 544-5800

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 2019-01570 (NC)
Dermatology Physician Taxonomy 207N00000X · Licence 4301106561 (MI)
Dermatology Physician Taxonomy 207N00000X · Licence MD17679 (HI)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence MD17679 (HI)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence ME142263 (FL)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 4301106561 (MI)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 49483 (AZ)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence A125540 (CA)

Record details

NPI number1154565661
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 28, 2009
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Also practisesDERMATOLOGY
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 2009 (17 years in practice)
Group practice Fora Dermatology Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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