Bradley T Moore in Prestonsburg - Family Medicine
Bradley T Moore - NPI 1629062807
Bradley T Moore is a Family Medicine in Prestonsburg, Kentucky. Bradley T Moore practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Bradley T Moore is 1629062807. The last update date is 2022-01-21.
Bradley T Moore's current location address is 1709 Ky Route 321, Prestonsburg, Kentucky. You can contact this provider via phone number 6068868546 and fax number 6068868548. The mailing address for Bradley T Moore is 1709 Ky Route 321, Prestonsburg, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley T Moore |
|---|---|
| Address | 1709 Ky Route 321, Prestonsburg, Kentucky |
| Phone Number | 6068868546 |
| Fax Number | 6068868548 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1629062807 |
|---|---|
| Provider Enumeration Date | 2005-09-02 |
| Last Updated Date | 2022-01-21 |
Provider Mailing Address Detail
| Address | 1709 Ky Route 321 |
|---|---|
| City | Prestonsburg |
| State | Kentucky (KY) |
| Post Code | 416539101 |
| Phone Number | 6068868546 |
| Fax Number | 6068868548 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | TP003 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64106719 | KY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bradley T Moore by the Centers for Medicare & Medicaid Services?
The Bradley T Moore has been issued the NPI (National Provider Identifier) 1629062807 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Bradley T Moore is physically located?
The Bradley T Moore is situated at the following address: 1709 Ky Route 321, Prestonsburg, KY 416539101.
What is the Bradley T Moore's specialty and taxonomy code?
The Bradley T Moore's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Bradley T Moore receive the assignment of its 1629062807 from the Centers for Medicare & Medicaid Services?
The Bradley T Moore was issued its 1629062807 by the Centers for Medicare & Medicaid Services on 2005-09-02.
When was the information pertaining to Bradley T Moore most recently updated or revised?
The details related to Bradley T Moore, including its address, specialty, and other relevant information, were last updated or revised on 2022-01-21.
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