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BRADLEY S KURGIS D O INC
NPI 1366736290
Dermatology - MOHS-Micrographic Surgery in Templeton, CA

Active since June 08, 2011CLIA 05D0966368 · Certificate of Compliance
1320 LAS TABLAS RD, SUITE B, TEMPLETON, CA 93465(805) 434-5563(805) 434-5916 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley S Kurgis D O Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY S KURGIS D O INC (NPI 1366736290) is a healthcare organization registered as a mohs-micrographic surgery in Templeton, California and active in the NPI registry since June 2011. The organization holds a CLIA Certificate of Compliance certificate valid through August 23, 2026 and lists Bradley S Kurgis, Owner, as its authorized official.

NPPES Registry Identity

NPI1366736290
Entity TypeOrganization
Primary Taxonomy207ND0101X
Legal Business NameBRADLEY S KURGIS D O INC
Location Address1320 LAS TABLAS RD, SUITE BTempleton, CA 93465-9711
Mailing Address1320 Las Tablas Rd, Suite BTempleton, CA 93465-9711 · (805) 434-5563 · Fax (805) 434-5916
Phone(805) 434-5563
Fax(805) 434-5916
Organization SubpartNo
Authorized OfficialBradley S KurgisOwner · (805) 434-5563
Enumeration DateJune 8, 2011
Last NPPES UpdateOctober 26, 2020
NPPES CertifiedOctober 26, 2020
✔ NPI 1366736290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
Definition
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.
1320 LAS TABLAS RD, Templeton, CA 93465
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Other Identifiers 1

Other20A55170CA · Medicare Id

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 05D0966368

Bradley S Kurgis Do Inc · Templeton, CA
Active · expires Aug 23, 2026
CLIA Number05D0966368
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2024
Certificate Expiration DateAugust 23, 2026
Laboratory DirectorDr. Bradley S. Kurgis MD
Laboratory Phone(805) 434-5563
Laboratory LocationBradley S Kurgis Do Inc1320 Las Tablas Rd, Ste B, Templeton, CA 93465
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE ANN JOSLIN NP-C
Nurse Practitioner (Family)
1320 LAS TABLAS RD, STE F
TEMPLETON, CA 93465
San Luis Obispo County (805) 928-0610
CENTRAL COAST PEDIATRICS INC
Pediatrics (Adolescent Medicine)
1320 LAS TABLAS RD, SUITE D
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-3796
DR. RANDOLPH SCHUYLER LAWRENCE M.D.
Surgery
1320 LAS TABLAS RD, SUITE C
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-0811
SAN LUIS OBISPO CA ENDOSCOPY ASC LP
Clinic/Center (Ambulatory Surgical)
1320 LAS TABLAS RD, SUITE A
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-9950
DR. EDWARD PAUL JARDINI M.D.
Family Medicine
1320 LAS TABLAS RD, SUITE F
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-0025
REANNA LYNN CLAYTON MSN, FNP-C
Nurse Practitioner (Primary Care)
1320 LAS TABLAS RD
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-0025
LOMELINO MEDICAL GROUP PC
Family Medicine
1320 LAS TABLAS RD, SUITE F
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-0025
DEBRA LEE BALKE MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1320 LAS TABLAS RD, SUITE E
TEMPLETON, CA 93465
San Luis Obispo County (805) 434-0960

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley S Kurgis D O Inc's NPI number?

The NPI number for Bradley S Kurgis D O Inc is 1366736290. It was assigned to this organization in the NPPES registry on June 8, 2011.

Where is Bradley S Kurgis D O Inc located?

Bradley S Kurgis D O Inc is located at 1320 Las Tablas Rd Suite B, Templeton, CA 93465. The listed phone number is (805) 434-5563.

What is Bradley S Kurgis D O Inc's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in MOHS-Micrographic Surgery, with taxonomy code 207ND0101X.

Does Bradley S Kurgis D O Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 05D0966368) is associated with this NPI, valid through August 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bradley S Kurgis D O Inc was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.