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BLUEWATER BAY UROLOGY LLC
NPI 1992740229
Urology in Niceville, FL

Active since June 19, 2006
4566 E HIGHWAY 20, SUITE 102, NICEVILLE, FL 32578(850) 897-6005(850) 897-6003 Get Directions Write a Review

NPPES record last updated: January 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bluewater Bay Urology Llc NPPES

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

BLUEWATER BAY UROLOGY LLC (NPI 1992740229) is a healthcare organization registered as an urology in Niceville, Florida and active in the NPI registry since June 2006. The organization lists Mickey Pickler, Vice President, as its authorized official.

NPPES Registry Identity

NPI1992740229
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameBLUEWATER BAY UROLOGY LLC
Location Address4566 E HIGHWAY 20, SUITE 102Niceville, FL 32578-8838
Mailing Address4566 E Highway 20, Suite 102Niceville, FL 32578-8838 · (850) 897-6005 · Fax (850) 897-6003
Phone(850) 897-6005
Fax(850) 897-6003
Organization SubpartNo
Authorized OfficialMickey PicklerVice President · (850) 523-2117
Enumeration DateJune 19, 2006
Last NPPES UpdateJanuary 10, 2008
✔ NPI 1992740229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
4566 E HIGHWAY 20, Niceville, FL 32578
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Other Identifiers 2

Medicare PINDF6999FL
Medicare PINAC202FL

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

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.

THERAPEUTIC CONNECTIONS L.L.C.
Occupational Therapist (Pediatrics)
4566 E HIGHWAY 20, SUITE 205
NICEVILLE, FL 32578
Okaloosa County (504) 274-9544
EMERALD COAST HEALTH INSTITUTE, INC.
Clinic/Center
4566 E HIGHWAY 20
NICEVILLE, FL 32578
Okaloosa County (850) 279-6949
KENNETH WAYNE PONDER M.D.
Internal Medicine
4566 E HIGHWAY 20, STE 103
NICEVILLE, FL 32578
Okaloosa County (850) 897-1223
MS. CATHERINE MARY O'CONNELL ARNP
Nurse Practitioner (Pediatrics)
4566 E HIGHWAY 20, SUITE 101
NICEVILLE, FL 32578
Okaloosa County (850) 897-7546
IN YOUR DREAMS INTERNATIONAL INC
Clinic/Center (Sleep Disorder Diagnostic)
4566 E HIGHWAY 20, SUITE 108
NICEVILLE, FL 32578
Okaloosa County (850) 729-3930
JAMES DARRYL SMITH P.A.
Physician Assistant
4566 E HIGHWAY 20
NICEVILLE, FL 32578
Okaloosa County (850) 897-7546
JANEAL T MUSSER ARNP-C
Nurse Practitioner (Primary Care)
4566 E HIGHWAY 20, SUITE 102
NICEVILLE, FL 32578
Okaloosa County (850) 279-2347
MR. THOMAS L MCKNIGHT MD
Family Medicine
4566 E HIGHWAY 20, SUITE 105
NICEVILLE, FL 32578
Okaloosa County (850) 279-6949

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 Bluewater Bay Urology LLC's NPI number?

The NPI number for Bluewater Bay Urology LLC is 1992740229. It was assigned to this organization in the NPPES registry on June 19, 2006.

Where is Bluewater Bay Urology LLC located?

Bluewater Bay Urology LLC is located at 4566 E Highway 20 Suite 102, Niceville, FL 32578. The listed phone number is (850) 897-6005.

What is Bluewater Bay Urology LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

When was this NPI record last updated?

The NPPES record for Bluewater Bay Urology LLC was last updated on January 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.