Active NPI
Urosynergy,Inc
Doing business as The Bladder Care Center
- Family Nurse Practitioner
- Pompano Beach, FL
National Provider Identifier
1407271141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP3090472
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538501978 | Other | FL | NPI |
Other names 1
- The Bladder Care Center
National Provider Directory
National Provider DirectoryNPI 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.