Active NPI
Brian Bishop Moon, M.D.
- Diagnostic Radiology Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- ME115592
- Practice address
- 3599 University Blvd. S.
BLDG. 300
Jacksonville, FL 32216 - Phone
- (904) 399-5550
- Fax
- (904) 346-4334
- NPI assigned
- May 31, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 0101246813 | VA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | ME115592 | FL | |
| Diagnostic Radiology Physician | 2085R0202X | ME115592 | FL | Primary |
| Vascular & Interventional Radiology Physician | 2085R0204X | 81210 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | 81210 | GA |
Addresses
Primary practice location
3599 University Blvd. S.
BLDG. 300
Jacksonville, FL 32216
Mailing address
3599 University Blvd S Ste 300
Jacksonville, FL 32216-4245
Phone (804) 828-9783
Other practice location 1
2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone (703) 523-1199
Other practice location 2
743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 219-9000 ext. 99000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- West Virginia University School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
141 Westbury
Williamsburg, VA 23188-8912
Phone (866) 722-1655
18101 Ruby Hill CT
Moseley, VA 23120-1908
Phone (404) 851-6577
1900 Tebeau St
Suite C
Waycross, GA 31501-6357
Phone (404) 851-6577
2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550
2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone (703) 523-1305
3599 University Blvd S
Suite 300
Jacksonville, FL 32216-4245
Phone (404) 662-2438
743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000
96 Lyle LN
Amissville, VA 20106-4315
Phone (404) 662-2438
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- HCA Florida Orange Park Hospital
- HCA Florida Memorial Hospital
- Baptist Medical Center Beaches
- Wellstar West Georgia Medical Center
- Brooks Rehabilitation Hospital University Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.75 of 100
- Quality
- 96.18
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.06 of 100
- Quality
- 72.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME115592 | FL | MD | Vascular & Interventional Radiology Physician |
| 81210 | GA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northside Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Danville Physician Practices LLC | Diagnostic Radiology | Current | Accepting new patients |
| Danville Physician Practices LLC | Current | Accepting new patients | |
| DLP Twin County Physician Practices LLC | Diagnostic Radiology | Current | Accepting new patients |
| Northeast Georgia Physicians Group Inc | Current | Accepting new patients | |
| DLP Twin County Physician Practices LLC | Current | Accepting new patients | |
| Danville Physician Practices LLC | Current | Accepting new patients | |
| Greensboro Pathology, LLC | Current | Accepting new patients | |
| Sentara Advanced Imaging Solutions, LLC | Diagnostic Radiology | Current | Accepting new patients |
| DLP Twin County Physician Practices LLC | Current | Accepting new patients | |
| Sentara Medical Group | Current | Accepting new patients | |
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Northside Imaging LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations (25 of 40)
119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150
1250 S 18th St
Fernandina Beach, FL 32034
Phone (904) 202-2087
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
8375 Dix Ellis Trl
Ste 201
Jacksonville, FL 32256
Phone (904) 399-5810
3599 University Blvd S
Ste 300
Jacksonville, FL 32216
Phone (904) 348-3879
14550 Old St Augustine Rd
Jacksonville, FL 32258
Phone (904) 202-5010
800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000
1350 13th Ave S
Jax Bch, FL 32250
Phone (904) 247-2900
3526 S Florida Ave
Lakeland, FL 33803
Phone (863) 400-4747
1430 Dale Mabry Hwy
Lutz, FL 33548
Phone (727) 313-0753
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
1771 Baptist Clay Dr
Orange Park, FL 32003
Phone (904) 516-1000
35750 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 789-8420
3065 James L Redman Pkwy
Plant City, FL 33566
Phone (813) 759-4900
12530 US Highway 301 S
Riverview, FL 33578
Phone (813) 413-3888
4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145
12922 Sheldon Rd
Tampa, FL 33626
Phone (813) 282-2850
8951 Cypress Manor Dr
Tampa, FL 33647
Phone (813) 759-4920
2901 W Swann Ave
Tampa, FL 33609
Phone (813) 783-6400
801 E Hillsborough Ave
Tampa, FL 33604
Phone (813) 512-4810
5234 E Fowler Ave
Temple Terrace, FL 33617
Phone (813) 496-2744
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
6001 Webb Rd
Twn North Cntry, FL 33615
Phone (813) 579-1402
Interoperability endpoints
- https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Coastal Vein Vascular Institute
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
VA
-
dba SOVAH Physician Practices
- Anesthesiology Physician
- Danville, VA
- NPI 1629022868
-
dba Twin County Sleep Center
- Sleep Medicine (Psychiatry & Neurology) Physician
- Galax, VA
- NPI 1962078527
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
- Diagnostic Radiology Physician
- Harvey, IL
- NPI 1831461771
GA
-
- Diagnostic Radiology Physician
- Danville, VA
- NPI 1265243612
-
dba Sovah Family Medicine - East
- Rural Health Clinic/Center
- Danville, VA
- NPI 1770260499
-
dba Twin County Obstetrics & Gynecology
- Surgery Physician
- Galax, VA
- NPI 1033485925
Diagnostic Radiology
-
dba Center for Behavioral Health
- Psychiatry Physician
- Galax, VA
- NPI 1255607941
-
- Clinical Medical Laboratory
- Greensboro, NC
- NPI 1952396202
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
dba Brooks Rehabilitation Hospital Bartram Campus
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1376114413
Inpatient rehabilitation facility
-
dba Brooks Rehabilitation
- Rehabilitation Hospital
- Jacksonville, FL
- NPI 1912947748
Inpatient rehabilitation facility
-
dba HCA Florida Memorial Hospital
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
-
dba HCA Florida Orange Park Hospital
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
-
dba Baptist Medical Center
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
-
dba WellStar West Georgia Medical Center
- General Acute Care Hospital
- Lagrange, GA
- NPI 1821221144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762387200000",
"number": "1003018342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3599 UNIVERSITY BLVD S STE 300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164245",
"telephone_number": "804-828-9783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3599 UNIVERSITY BLVD. S.",
"address_2": "BLDG. 300",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32216",
"telephone_number": "904-399-5550",
"fax_number": "904-346-4334"
}
],
"practiceLocations": [
{
"address_1": "2300 Opitz Blvd",
"address_purpose": "LOCATION",
"city": "Woodbridge",
"state": "VA",
"postal_code": "221913311",
"country_code": "US",
"telephone_number": "703-523-1199",
"fax_number": "703-583-4923",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "743 Spring St NE",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013715",
"country_code": "US",
"telephone_number": "770-219-9000 x99000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOON",
"first_name": "BRIAN",
"middle_name": "BISHOP",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-31",
"last_updated": "2025-11-06",
"certification_date": "2025-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101246813",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "FL",
"license": "ME115592",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "FL",
"license": "ME115592",
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "GA",
"license": "81210",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "81210",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.