BLUEWATER BAY UROLOGY LLC – Urology Physician, NPI 1992740229

BLUEWATER BAY UROLOGY LLC is a healthcare provider. based in Niceville, Florida. specializing in Urology Physician. The NPI Number for BLUEWATER BAY UROLOGY LLC is 1992740229

Main info

Organization
Name
BLUEWATER BAY UROLOGY LLC
NPI
1992740229
Phone
(850) 897-6005
Address
4566 E HIGHWAY 20
Authorized Official
MICKEY PICKLER VICE PRESIDENT
Enumeration Date
19 June 2006
Last Update Date
10 January 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

Provider Addresses for BLUEWATER BAY UROLOGY LLC

  • 4566 E HIGHWAY 20

    SUITE 102

    NICEVILLE, FL 325788838

    Phone: (850) 897-6005

    Fax: (850) 897-6003

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32578)

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Reviews

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Frequently asked questions

What federal number belongs to BLUEWATER BAY UROLOGY LLC?
The federal identifier for BLUEWATER BAY UROLOGY LLC is NPI 1992740229.
Is BLUEWATER BAY UROLOGY LLC's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is BLUEWATER BAY UROLOGY LLC?
The page reflects Urology Physician for BLUEWATER BAY UROLOGY LLC. Clinical services aligned with this taxonomy classification.
Where does public data place BLUEWATER BAY UROLOGY LLC?
The snapshot lists Niceville, Florida for BLUEWATER BAY UROLOGY LLC; download NPPES for the complete set.
Is BLUEWATER BAY UROLOGY LLC a real provider?
This page reflects official NPPES data for NPI 1992740229. Always confirm identity and privileges with the practice and licensing boards.

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