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

Active since June 08, 2011
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: October 25, 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 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley S Kurgis D O Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bradley S Kurgis D O Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bradley Kurgis, DO
Dermatology
NPI 1770529620
1320 LAS TABLAS RD SUITE B
Templeton, CA 93465
(805) 434-5563
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Expired · Sep 30, 2026
CLIA Number05D0966368
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2024
Certificate Expiration DateSeptember 30, 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.

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.

Is Bradley S Kurgis D O Inc enrolled in Medicare?

Yes. Bradley S Kurgis D O Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bradley S Kurgis D O Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Bradley S Kurgis D O Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 6 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.