Provider Demographics
NPI:1710982889
Name:BERNSLEY, CURTIS N (MD)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:N
Last Name:BERNSLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4737 N OCEAN DR STE 103
Mailing Address - Street 2:
Mailing Address - City:LAUDERDALE BY THE SEA
Mailing Address - State:FL
Mailing Address - Zip Code:33308-2920
Mailing Address - Country:US
Mailing Address - Phone:561-716-7455
Mailing Address - Fax:561-584-7360
Practice Address - Street 1:4737 N OCEAN BLVD
Practice Address - Street 2:STE 103
Practice Address - City:LAUDERDALE BY THE SEA
Practice Address - State:FL
Practice Address - Zip Code:33308
Practice Address - Country:US
Practice Address - Phone:561-866-1160
Practice Address - Fax:561-584-7360
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2021-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME67046208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL26479ZMedicare PIN
FLF96133Medicare UPIN