Mr Bradley T Moore, DO | |
62 Ky Rte 306, Bypro, KY 41612 | |
(606) 452-1700 | |
(606) 452-1703 |
Full Name | Mr Bradley T Moore |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 20 Years |
Location | 62 Ky Rte 306, Bypro, Kentucky |
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 |
---|---|---|---|
1629062807 | NPI | - | NPPES |
64106719 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 02916 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mcdowell Arh Hospital | Mc dowell, KY | Hospital |
Arh Our Lady Of The Way | Martin, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Appalachian Regional Healthcare Inc | 0840107835 | 230 |
Arh Mary Breckinridge Health Services, Inc. | 8123293818 | 52 |
Entity Name | Appalachian Regional Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528148012 PECOS PAC ID: 0840107835 Enrollment ID: O20031125000520 |
Entity Name | Appalachian Regional Healthcare Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861671117 PECOS PAC ID: 0840107835 Enrollment ID: O20080303000476 |
Entity Name | Arh Mary Breckinridge Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982989018 PECOS PAC ID: 8123293818 Enrollment ID: O20121003000026 |
Entity Name | Arh Mary Breckinridge Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184156036 PECOS PAC ID: 8123293818 Enrollment ID: O20170728001694 |
Entity Name | Arh Tug Valley Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639949696 PECOS PAC ID: 4183953805 Enrollment ID: O20190905002344 |
Mailing Address | Practice Location Address |
---|---|
Mr Bradley T Moore, DO 62 Ky Rte 306, Bypro, KY 41612 Ph: (606) 452-1700 | Mr Bradley T Moore, DO 62 Ky Rte 306, Bypro, KY 41612 Ph: (606) 452-1700 |