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BRADLEY S KURGIS D O INC NPI 1366736290


NPI Information

NPI: 1366736290
Provider Name: BRADLEY S KURGIS D O INC
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 05D0966368

Address:
1320 LAS TABLAS RD
SUITE B
TEMPLETON, CA
ZIP 93465
Phone: (805) 434-5563
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BRADLEY S KURGIS D O INC is a mohs-micrographic surgery dermatology in Templeton, CA. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. BRADLEY S KURGIS D O INC NPI is 1366736290. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1320 LAS TABLAS RD
SUITE B
TEMPLETON, CA
ZIP 93465-711
Phone: (805) 434-5563
Fax: (805) 434-5916

The provider's authorized official is Bradley S Kurgis .
The authorized official title is Owner and has the following contact phone number (805) 434-5563.

The CLIA number assigned to this NPI record is 05D0966368 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/8/2011 and was last updated on 10/26/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0101XDermatologyMOHS-Micrographic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
120A55170OTHERCALIFORNIAMEDICARE ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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