MEDICARE: DR. CURTIS N BERNSLEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	ME67046	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710982889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CURTIS N BERNSLEY M.D.

Provider Business Mailing Address
First Line	:	4737 N OCEAN DR STE 103
Second Line	:
City	:	LAUDERDALE BY THE SEA
State	:	FL
Zip	:	33308-2920
Country	:	US
Telephone Number	:	561-716-7455
Fax Number	:	561-584-7360

Provider Business Practice Location Address
First Line	:	4737 N OCEAN BLVD
Second Line	:	STE 103
City	:	LAUDERDALE BY THE SEA
State	:	FL
Zip	:	33308
Country	:	US
Telephone Number	:	561-866-1160
Fax Number	:	561-584-7360

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	03/11/2021

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