OrganizationActive
Bluewater Bay Urology LLC
NPI 1992740229 · Urology Physician · Niceville, FL
Provider details
- NPI number
- 1992740229
- Entity type
- Organization
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mickey Pickler, Vice President(850) 523-2117
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4566 E Highway 20
Suite 102
Niceville, FL 32578-8838
Phone: (850) 897-6005
Fax: (850) 897-6003
Street-level locationGet directions
Mailing address
4566 E Highway 20
Niceville, FL 32578-8838
Registry dates
- Enumerated
- 2006-06-19
- Last updated
- 2008-01-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.