MR. BRADLEY J MOORE (NPI# 1295963783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295963783 |
| Entity Type | Individual |
| Full Name | MR. BRADLEY J MOORE |
| Credential | M.D. |
| Practice Address |
901 Heartland Road, Plaza 2 Suite 1800 St. Joseph MO 64506 |
| Practice Telephone | 8162328877 |
| Practice Fax Number | 8162320307 |
| Mailing Telephone | 8162328877 |
| Mailing Fax Number | 8162320307 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2014-09-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 2014009227 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | STATE TEMPORARY LICENCE | 2009015677 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699744847 | Bradley Bancroft Moore | Obstetrics & Gynecology | 9 Dunwoody Park, Suite 108, Atlanta, GA 30338-7407 | 2006-03-17 |
| 1629062807 | Bradley T Moore | Family Medicine | 100 Airport Gardens Rd, Hazard, KY 41701-9529 | 2005-09-02 |
| 1336528470 | Bradley Christopher Moore | Dentist | 5212 W Broad St, Columbus, OH 43228-1642 | 2015-05-21 |
| 1427480573 | Bradley Kent Moore | Physical Therapist | 2000 Blake Blvd, Bossier City, LA 71111-2232 | 2013-07-31 |
| 1346514692 | Bradley J. Moore | Physician Assistant | 1926 Alcoa Hwy, Bldg. F, Suite 210, Knoxville, TN 37920-1545 | 2012-03-05 |
| 1588975296 | Bradley Allen Moore Jr. | Internal Medicine | 55 Arch St, Suite 1b, Akron, OH 44304-1423 | 2010-06-28 |
| 1346429750 | Bradley Dale Moore | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2007-11-01 |
| 1417151325 | Bradley Allen Moore | Physical Therapist | 9000 Executive Park Dr, Suite A-205, Knoxville, TN 37923-4685 | 2007-06-13 |
| 1922047646 | Bradley Todd Moore | Surgery | 4320 Wornall Rd, Ste 530, Kansas City, MO 64111-5941 | 2006-06-06 |
| Street Address |
901 HEARTLAND ROAD, PLAZA 2 SUITE 1800 |
| City | ST. JOSEPH |
| State | MO |
| Zip Code | 64506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
| 1669086609 | Phuc Vo | Pharmacist | 4022 N Belt Hyw, Saint Joseph, MO 64506 | 2020-09-08 |
| 1104450675 | Hughes Acupuncture LLC | Acupuncturist | 1918 North Belt Highway, St Joseph, MO 64506 | 2020-02-24 |
| 1306323316 | Camilla Allison Walling | Nurse Practitioner | 1009 West St. Maartens Drive Suite F, Saint Joseph, MO 64506 | 2018-07-23 |
| 1326559964 | Amber Wheatley Wood | Counselor | 724 N. 22nd Street, Saint Joseph, MO 64506 | 2017-10-23 |
| 1366952988 | Annette Burris | Audiologist | 2401 North Woodbine, St. Joseph, MO 64506 | 2017-10-10 |
| 1962927665 | Genuine Senior Care LLC | In Home Supportive Care | 3715 Beck Road, Suite 207b, St. Joseph, MO 64506 | 2017-08-03 |
| 1215396569 | Andrew M Fisher | Counselor | 2400 Frederick Blvd, Suite 407, Saint Joseph, MO 64506 | 2016-02-15 |
| 1699133678 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3320 North Belt Highway, St Joseph, MO 64506 | 2016-02-04 |
| 1598167587 | Quality Hearing and Audiology Center LLC | Audiologist | 2227 North Belt Highway, St. Joseph, MO 64506 | 2014-09-22 |
| Find all providers in zip 64506 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639157308 | David W Terhune | Urology | 815 St. Joseph Drive, St. Joseph, MI 49085-2529 | 2006-01-04 |
| 1770515959 | Benjamin R Stockton | Urology | 815 St. Joseph Drive, St. Joseph, MI 49085-2529 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225699408 | Garth Sherman | Urology | 1 Hospital Dr # Mc301, Columbia, MO 65201-5276 | 2019-06-27 |
| 1902326622 | Alexander Anderson | Urology | 1 Hospital Drive University of Missouri Mc404, Columbia, MO 65212-0001 | 2017-06-23 |
| 1649633736 | Jack Campbell | Urology | 3101 Belinda Ct, Columbia, MO 65203-3848 | 2016-04-05 |
| 1962834390 | Midwest Urology Center, PC | Urology | 1905 W 32nd St Ste 302, Joplin, MO 64804-1512 | 2013-08-08 |
| 1932463940 | Brandi Dawn Miller | Urology | 1965 S Fremont Ave Ste 370, Springfield, MO 65804-2284 | 2012-06-25 |
| 1437412582 | Andrew T Blackburne | Urology | 11155 Dunn Rd Ste 309e, Saint Louis, MO 63136 | 2012-06-22 |
| 1699049395 | Harry L. Ellis | Urology | 5034 S Glenhaven Ave, Springfield, MO 65804-7804 | 2012-02-28 |
| 1083902852 | Gurdarshan S Sandhu | Urology | 607 South New Ballas Road, Suite 3100, Saint Louis, MO 63141 | 2011-07-14 |
| 1457672446 | Christopher D Jaeger | Urology | 112 Piper Hill Dr Ste 12, Saint Peters, MO 63376-1690 | 2010-06-14 |
| 1538486816 | Centerpoint Medical Specialists LLC | Urology | 725 Nw State Route 7, Suite C, Blue Springs, MO 64014-2426 | 2010-04-27 |
| Find all providers with the same taxonomy | ||||
| City | ST. JOSEPH |
| Zip Code | 64506 |
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| 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.