Individual provider Active NPI

Curtis N Bernsley, M.D.

  • Urology Physician
  • Lauderdale by the Sea, FL
National Provider Identifier
1710982889
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME67046 Issued in FL
Practice address
4737 N Ocean Blvd
Ste 103
Lauderdale by the Sea, FL 33308
Phone
(561) 866-1160
Fax
(561) 584-7360
NPI assigned
Jun 16, 2005
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME67046 FL Primary

Addresses

Primary practice location

4737 N Ocean Blvd
Ste 103
Lauderdale by the Sea, FL 33308

Mailing address

4737 N Ocean Dr Ste 103
Lauderdale by the Sea, FL 33308-2920
Phone (561) 716-7455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100726000531 FL Practitioner - Urology 2668504754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Innovative Urology PA Urology CurrentSince Feb 1, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6363 Verde Trl
Boca Raton, FL 33433
Phone (561) 226-1885

3032 E Commercial Blvd
Lauderdale by the Sea, FL 33308
Phone (561) 716-7455

4737 N Ocean Dr
Ste 103
Lauderdale by the Sea, FL 33308

Interoperability endpoints

  • Direct secure messaging: cbernsley@brrh.gwaydirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1710982889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4737 N OCEAN DR STE 103",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "333082920",
            "telephone_number": "561-716-7455",
            "fax_number": "561-584-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4737 N OCEAN BLVD",
            "address_2": "STE 103",
            "city": "LAUDERDALE BY THE SEA",
            "state": "FL",
            "postal_code": "33308",
            "telephone_number": "561-866-1160",
            "fax_number": "561-584-7360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNSLEY",
        "first_name": "CURTIS",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2021-03-11",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME67046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderdale by the Sea, FL

Sources for this page

Verify at the official NPI Registry.