DR. BRIAN BISHOP MOON (NPI# 1003018342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003018342 |
| Entity Type | Individual |
| Full Name | DR. BRIAN BISHOP MOON |
| Credential | M.D. |
| Practice Address |
3599 University Blvd. S. Bldg. 300 Jacksonville FL 32216 |
| Practice Telephone | 9043995550 |
| Practice Fax Number | 9043464334 |
| Mailing Telephone | 8048289783 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2017-08-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME115592 | FL | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
ME115592 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679815773 | Brian Christopher Moon | Emergency Medicine | 5100 W Broad St, Columbus, OH 43228-1607 | 2013-03-27 |
| 1770808248 | Brian Joon Moon | Anesthesiology | 757 Westwood Plz, Los Angeles, CA 90095-8358 | 2010-03-28 |
| 1396073284 | Brian William Moon | Pharmacist | 11724 Research Blvd, Austin, TX 78759-2446 | 2009-12-03 |
| 1255430161 | Brian W Moon | Anesthesiology | 2175 Rosaline Ave, Redding, CA 96001 | 2006-09-21 |
| Street Address |
3599 UNIVERSITY BLVD. S. BLDG. 300 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538150610 | Dianne Laroche Johnson | Radiology | 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216-0000 | 2005-10-29 |
| 1356537492 | Andrew Dominic Mcbride | Radiology | 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216 | 2007-09-21 |
| 1710173265 | Rebecca Leah Glass | Physician Assistant | 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216-0000 | 2007-09-19 |
| 1972701001 | Gregory Blair Stringfellow | Radiology | 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216-0000 | 2007-07-10 |
| 1649473737 | Derek J Schemmel | Radiology | 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216 | 2007-06-07 |
| 1700821147 | Brad Douglas Talley | Radiology | 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216 | 2006-06-19 |
| 1316912587 | Catherine Jane Bailey | Physician Assistant | 3599 University Blvd. S., Bldg. 300, Jacksonville, FL 32216-0000 | 2006-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596471 | Summerlin Imaging Center LLC | Radiology | 3550 University Blvd S Ste 102, Jacksonville, FL 32216-4227 | 2019-09-10 |
| 1275038671 | William Austin Forshee | Radiology | 655 W 8th St Fl 2, Jacksonville, FL 32209-6511 | 2018-03-27 |
| 1316449267 | F&s Radiology, P.C. | Radiology | 10045 Richton Ct, Jacksonville, FL 32246-1885 | 2018-03-07 |
| 1679025522 | Diagnostic Imaging Partners | Radiology | 2000 Brabham Avenue, Suite 110, Jacksonville, NC 28546 | 2016-10-26 |
| 1689052359 | Coastal Vein & Vascular Institute, LLC | Radiology | 7741 Point Meadows Dr, Unit 104-106, Jacksonville, FL 32256-9182 | 2015-05-13 |
| 1316385024 | Matthew Hal Jenson | Radiology | 655 W 8th St # C-90, Jacksonville, FL 32209-6511 | 2013-06-05 |
| 1740557917 | Rmed LLC | Radiology | 4348 Southpoint Blvd., Suite 100c, Jacksonville, FL 32216-0903 | 2011-11-16 |
| 1952618324 | Edgardo Alberto Agrait-bertran | Radiology | 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 | 2010-09-08 |
| 1477788982 | David A Walker Md Pa | Radiology | 8040 Woodpecker Trl, Jacksonville, FL 32256-7333 | 2009-05-28 |
| 1245465343 | Kyle Hayden | Radiology | 1303 Greenridge Rd, Jacksonville, FL 32207-5334 | 2009-05-19 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on DR. BRIAN BISHOP MOON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.