Mr Bradley J Moore, MD | |
901 Heartland Road, Plaza 2 Suite 1800, St. Joseph, MO 64506 | |
(816) 232-8877 | |
(816) 232-0307 |
Full Name | Mr Bradley J Moore |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 15 Years |
Location | 901 Heartland Road, Plaza 2 Suite 1800, St. Joseph, Missouri |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295963783 | NPI | - | NPPES |
2009015677 | Other | MO | STATE TEMPORARY LICENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 2014009227 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carroll County Memorial Hospital | Carrollton, MO | Hospital |
Mosaic Life Care At St Joseph | Saint joseph, MO | Hospital |
Wright Memorial Hospital | Trenton, MO | Hospital |
Hedrick Medical Center | Chillicothe, MO | Hospital |
Hiawatha Community Hospital | Hiawatha, KS | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Phoenix Urology Of St Joseph Inc | 0840224291 | 5 |
Carroll County Memorial Hospital | 2860485638 | 64 |
Phoenix Urology Of St Joseph Inc | 0840224291 | 5 |
Entity Name | Saint Luke's Hospital Of Trenton |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841274057 PECOS PAC ID: 3971495532 Enrollment ID: O20040327000339 |
Entity Name | Carroll County Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528067113 PECOS PAC ID: 2860485638 Enrollment ID: O20040407000120 |
Entity Name | Phoenix Urology Of St Joseph Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679674048 PECOS PAC ID: 0840224291 Enrollment ID: O20050924000143 |
Mailing Address | Practice Location Address |
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Mr Bradley J Moore, MD 901 Heartland Road, Plaza 2 Suite 1800, St. Joseph, MO 64506 Ph: (816) 232-8877 | Mr Bradley J Moore, MD 901 Heartland Road, Plaza 2 Suite 1800, St. Joseph, MO 64506 Ph: (816) 232-8877 |