PAUL B. BANDELIN, DO — NPI 1497805071 (Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) in SAINT PETER, MN)

CMS-1500 Box 24J / 33a • NPI

1497805071

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207N00000X (CMS 07)

Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)

Box 32 Service Location & ZIP+4

1900 SUNRISE DR, SUITE 300, SAINT PETER, MN, 56082-5376

✓ 9-Digit EDI 837 ZIP+4 (56082-5376)

Practice Phone & Referral Fax

(507) 389-8538

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1497805071 (PAUL B. BANDELIN, DO) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1497805071` (NPI-1 Individual Practitioner)
Provider / Legal Name	PAUL B. BANDELIN, DO
Plain-English Specialty	Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist) NUCC Code: `207N00000X` (Dermatology)
Certifying / Licensing Body	American Board of Dermatology (ABD)
Practice Location Address	1900 SUNRISE DR, SUITE 300, SAINT PETER, MN, 56082-5376
Practice Telephone / Fax	Tel: (507) 389-8538
Administrative Mailing Address	1230 E MAIN ST, MANKATO, MN, 56001-5066
Enumeration & Last Sync	Enumerated: 2007-01-12 \| CMS Record Updated: 2020-07-22

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1900 SUNRISE DR, SUITE 300, SAINT PETER, MN, 56082-5376

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Plain-English Taxonomy & CMS Crosswalk (207N00000X)

What Does Taxonomy Code 207N00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207N00000X translates to:
"Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 07 (Physician/Dermatology)
Certifying / Accrediting Authority: American Board of Dermatology (ABD)
Clinical Scope: Changing moles, skin rashes, severe acne, eczema, psoriasis, fungal infections, hair loss, or skin cancer checks.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (PAUL B. BANDELIN, DO)

Typical CPT / Diagnostic Procedures:

Full-Body Dermoscopy & Skin Cancer Screening
Shave, Punch & Excisional Skin Biopsy (CPT 11102–11107)
Cryotherapy Destruction of Actinic Keratoses & Viral Warts (CPT 17000)

Common Therapeutic Classes:

Topical Corticosteroids (Triamcinolone, Clobetasol) & Calcineurin Inhibitors
Topical & Oral Retinoids (Tretinoin, Adapalene, Isotretinoin)
Doxycycline, Minocycline & Antifungals (Terbinafine, Ketoconazole)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207R00000X` — Internal Medicine Plain English: Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)	State: WI \| License: `50184-21` \| Primary: Secondary
`207N00000X` — Dermatology Plain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)	State: MN \| License: `60390` \| Primary: Yes (Primary)
`207N00000X` — Dermatology Plain English: Board-Certified Dermatologist (Skin, Hair & Nail Medical/Surgical Specialist)	State: WI \| License: `50184-21` \| Primary: Secondary

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PAUL B. BANDELIN, DO (NPI #1497805071)