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

Peter J Neidenbach, MD

Individual provider Dermatology Physician · NPI 1316905631

Peter J Neidenbach, MD is a Dermatology in Columbus, North Carolina. Graduated from University of South Carolina School of Medicine in 1991, 35 years ago. Practices with Medical and Surgical Dermatology, LLC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
35
Trained at
University of South Carolina School of Medicine
Licensed in
NC, SC
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

52 Hospital Dr Ste 3A
Columbus, NC 28722-8516
Phone: (828) 894-2473
Fax: (828) 894-2390
Show map & directions

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

Additional practice locations (1)

  • 2430 Reidville Rd, Spartanburg, SC 29301-3652 — (828) 894-2473

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 9501356 (NC)
Dermatology Physician Taxonomy 207N00000X · Licence MMD16384MD (SC)

Record details

NPI number1316905631
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 3, 2006
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023
Mailing address52 Hospital Dr Ste 3a, Columbus, NC 28722-8516

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Medical And Surgical Dermatology, Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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