Urotelemedicine, LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

UROTELEMEDICINE, LLC

Practice address

8669 NW 36TH St Ste 325
Doral, FL 33166-6698

Phone

(786) 393-0058

NPI assigned

Aug 6, 2020

Organization subpart

No

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

Authorized official

Name

Darren BruckNPI 1841263779

Title

Urologist

Phone

(305) 925-8118

Specialties & licenses 1

Addresses

Other names 1

• FLORIDA UROLOGICAL CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darren Bruck, M.D.

  • Urology Physician
  • Doral, FL
  • NPI 1841263779
  Medicare reassignment Care Compare group NPD Authorized official
• Peter Mennie, MD

  • Urology Physician
  • Palmetto Bay, FL
  • NPI 1972765329
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1770193450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8669 NW 36TH ST STE 325",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666698",
            "telephone_number": "305-925-8118",
            "fax_number": "305-925-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8669 NW 36TH ST STE 325",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666698",
            "telephone_number": "786-393-0058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9299 SW 152nd St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Palmetto Bay",
            "state": "FL",
            "postal_code": "331571775",
            "country_code": "US",
            "telephone_number": "305-925-8118",
            "fax_number": "305-925-8119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UROTELEMEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-06",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "BRUCK",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "UROLOGIST",
        "authorized_official_telephone_number": "305-925-8118"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLORIDA UROLOGICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FLORIDA UROLOGICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urology Physician in Doral, FL
• Providers in Doral, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.