BRAD MORIARTY OD PC (NPI# 1225338148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225338148 |
| Entity Type | Organization |
| Organization Name | BRAD MORIARTY OD PC |
| Practice Address |
1601 Mount Rushmore Rd Suite 5 Rapid City SD 57701-4588 |
| Practice Telephone | 6053434164 |
| Practice Fax Number | 6053489773 |
| Mailing Telephone | 6053434164 |
| Mailing Fax Number | 6053489773 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2012-04-27 |
| Authorized Official Name | DR. BRAD JEROME MORIARTY (PRESIDENT) |
| Authorized Official Telephone | 6053434164 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
T484 | SD | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 9202310 | 05 | |
| MEDICARE PTAN | S104430 | 01 |
| Street Address |
1601 MOUNT RUSHMORE RD SUITE 5 |
| City | RAPID CITY |
| State | SD |
| Zip Code | 57701-4588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023092988 | Brad Jerome Moriarty | Optometrist | 1601 Mount Rushmore Rd, Suite 5, Rapid City, SD 57701-4588 | 2005-12-05 |
| 1801337845 | Rapid City Medical Supplies | Durable Medical Equipment & Medical Supplies | 1601 Mount Rushmore Rd, Rapid City, SD 57701-4591 | 2017-03-09 |
| 1245301787 | Michael Scott Ellender | Optometrist | 1601 Mount Rushmore Rd, Suite 5, Rapid City, SD 57701-4588 | 2006-11-13 |
| 1417028051 | Elizabeth Ann Ellender | Optometrist | 1601 Mount Rushmore Rd, Suite 5, Rapid City, SD 57701-4591 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528623345 | Julie Maas | Counselor | 625 1/2 Main St, Suite 1, Rapid City, SD 57701 | 2019-05-07 |
| 1972076024 | Edgewood Rapid City LLC | Assisted Living Facility | 4001 Derby Lane, Rapid City, SD 57701 | 2019-01-10 |
| 1902300247 | Theresa Gibbens | Speech-Language Pathologist | 3301 Grandview Drive, Rapid City, SD 57701 | 2018-03-21 |
| 1407355423 | Arielle Leigh Loveridge | Chiropractor | 610 East Boulevard, Suite 1, Rapid City, SD 57701 | 2018-02-05 |
| 1083125082 | Sarah Kirschman | Nurse Practitioner | 353 Fairmont Boulvevard, Rapid City, SD 57701 | 2017-10-17 |
| 1992225239 | Kelsey Elizabeth Wondercheck | Dentist | 717 Meade Street, Suite 200, Rapid City, SD 57701 | 2017-06-27 |
| 1316476088 | Rhianna Wickett | Physical Therapist | 420 E Saint Patrick St Ste 101, Rapid City, SD 57701 | 2017-06-07 |
| 1841727773 | Cynthia A Gates | Dietitian, Registered | 2908 5th Street, Rapid City, SD 57701 | 2017-05-23 |
| 1811447758 | Alyssa Marquardt | Psychologist | 433 Mt. Rushmore Road, Rapid City, SD 57701 | 2016-10-04 |
| 1578913232 | .indian Health Service | Clinic/Center | 241 East Meade St, Rapid City, SD 57701 | 2016-06-14 |
| Find all providers in zip 57701 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023092988 | Brad Jerome Moriarty | Optometrist | 1601 Mount Rushmore Rd, Suite 5, Rapid City, SD 57701-4588 | 2005-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811043102 | Joe Krall | Optometrist | 1415 N Sanborn Blvd, Mitchell, SD 57301-1015 | 2007-01-27 |
| 1285672246 | John Wesley Joseph Sivesind | Optometrist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-06-03 |
| 1780100941 | Insight Eye Care Professionals, P.C. | Optometrist | 2414 S Louise Ave, Sioux Falls, SD 57106-4318 | 2017-08-19 |
| 1861694812 | Vermillion Vision Clinic, PC | Optometrist | 120 W Main St, Vermillion, SD 57069-3036 | 2007-06-01 |
| 1407949753 | Dr. John W Sivesind, O.d., P.C. | Optometrist | 5521 E Arrowhead Pkwy, Sioux Falls, SD 57110-0400 | 2006-10-01 |
| City | RAPID CITY |
| Zip Code | 57701 |
Please comment or provide details below to improve the information on BRAD MORIARTY OD PC.
| 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.