Individual provider Active NPI

Brian Bishop Moon, M.D.

  • Diagnostic Radiology Physician
  • Jacksonville, FL
National Provider Identifier
1003018342
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME115592 Issued in FL
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

Updated by the provider on Nov 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130626000397 FL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5698914497 Reassigns benefits to 2 organizations
I20190314002756 GA Practitioner - Diagnostic Radiology 5698914497 Reassigns benefits to 3 organizations
I20220908003578 VA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5698914497 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
West Virginia University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians
Danville Physician Practices LLCGroup PAC ID 4688606304, 171 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
96.75 of 100Reported as group
Quality
96.18
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME115592FLMDVascular & Interventional Radiology Physician
81210GAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Danville Physician Practices LLC Diagnostic Radiology CurrentSince Jan 15, 2025 Accepting new patients
Danville Physician Practices LLC CurrentSince Jan 15, 2025 Accepting new patients
DLP Twin County Physician Practices LLC Diagnostic Radiology CurrentSince Jan 15, 2025 Accepting new patients
Northeast Georgia Physicians Group Inc CurrentSince Dec 1, 2025 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 CurrentSince Apr 1, 2025 Accepting new patients
DLP Twin County Physician Practices LLC CurrentSince Jan 15, 2025 Accepting new patients
Sentara Medical Group CurrentSince May 2, 2025 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Aug 5, 2013 Accepting new patients
Northside Imaging LLC Diagnostic Radiology PastSince Aug 1, 2020 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

  • FHIR API: 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.

View all 14

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.