Bradley S Kurgis, DO

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

20A5517 Issued in CA

Practice address

1320 Las Tablas Rd
Suite B
Templeton, CA 93465-9711

Phone

(805) 434-5563

Fax

(805) 434-5916

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Dermatology

Education

New York College of Osteo Medicine of New York Institute of Technology, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bradley S Kurgis DO IncGroup PAC ID 7911185137, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles (2 of 3)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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

• Bradley S Kurgis D O Inc

  • MOHS-Micrographic Surgery Physician
  • Templeton, CA
  • NPI 1366736290

  CA, Mohs-Micrographic Surgery

  Medicare reassignment Care Compare group NPD Authorized official
• Twin Cities Community Hospital, Inc.

  • General Acute Care Hospital
  • Templeton, CA
  • NPI 1396778197
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1770529620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 LAS TABLAS RD",
            "address_2": "SUITE B",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659711",
            "telephone_number": "805-434-5563",
            "fax_number": "805-434-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 LAS TABLAS RD",
            "address_2": "SUITE B",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659711",
            "telephone_number": "805-434-5563",
            "fax_number": "805-434-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURGIS",
        "first_name": "BRADLEY",
        "middle_name": "S",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "20A5517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "002A55170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walter S Kohnke, DDS
• Margaret Kowall, RN
• Mark Gerard Kowall, M.D.
• Leslie Kubin, CBS, MS
• Joseph Kuntze, M.D.
• La Laser Center PC, a Professional Medical Corporation
• Laboratory Corporation of America
• Lacasto Chiropractic Center
• Lags Spine & Sportscare Medical Centers Inc
• Lags Spine and Sportscare Medical Centers, Inc.

• All providers in Templeton, CA
• MOHS-Micrographic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.