Active NPI
Maria Deborah Bradley-Moore, M.D.
- Psychiatry Physician
- San Francisco, CA
National Provider Identifier
1023261591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A105585
- Practice address
- 815 Hyde St Ste 100
San Francisco, CA 94109-5998 - Phone
- (415) 673-5700
- Fax
- (415) 292-7140
- NPI assigned
- Oct 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A105585 | CA | Primary |
Addresses
Primary practice location
815 Hyde St Ste 100
San Francisco, CA 94109-5998
Mailing address
815 Hyde St
Ste 100
San Francisco, CA 94109-5998
Phone (415) 673-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105585 | CA | MD | Clinical Social Worker |
| A105585 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506988800000",
"number": "1023261591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 HYDE ST",
"address_2": "STE 100",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941095998",
"telephone_number": "415-673-5700",
"fax_number": "415-292-7140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 HYDE ST STE 100",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941095998",
"telephone_number": "415-673-5700",
"fax_number": "415-292-7140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY-MOORE",
"first_name": "MARIA",
"middle_name": "DEBORAH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-28",
"last_updated": "2017-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A105585",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.