Organization Active NPI

Urosynergy,Inc

Doing business as The Bladder Care Center

  • Family Nurse Practitioner
  • Pompano Beach, FL
National Provider Identifier
1407271141
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3090472 Issued in FL
Legal business name
UROSYNERGY,INC
Doing business as
The Bladder Care Center
Practice address
550 SW 3Rd St
Suite 100
Pompano Beach, FL 33060-6934
Phone
(954) 210-5563
NPI assigned
Mar 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Carol Christine Johnson McGregor, FNP-BC
Title
VP
Phone
(954) 210-5563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X ARNP3090472 FL Primary

Addresses

Primary practice location

550 SW 3Rd St
Suite 100
Pompano Beach, FL 33060-6934

Mailing address

5489 Wiles Rd
Suite 302
Coconut Creek, FL 33073-4220
Phone (954) 210-5563

Other identifiers 1

IdentifierTypeStateIssuer
1538501978OtherFLNPI

Other names 1

  • The Bladder Care Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1407271141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5489 WILES RD",
            "address_2": "SUITE 302",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734220",
            "telephone_number": "954-210-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 SW 3RD ST",
            "address_2": "SUITE 100",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606934",
            "telephone_number": "954-210-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROSYNERGY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "JOHNSON MCGREGOR",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "954-210-5563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3090472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538501978",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Bladder Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.