NPIMap

Individual provider Active NPI

Brian W Moss, M.D.

  • Emergency Medicine Physician
  • Caldwell, ID
National Provider Identifier
1033384201
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P3936 Issued in TX
Practice address
1717 Arlington Ave
Caldwell, ID 83605-4802
Phone
(208) 459-4641
NPI assigned
Apr 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M-10302 ID
Emergency Medicine Physician 207P00000X P3936 TX Primary

Addresses

Primary practice location

1717 Arlington Ave
Caldwell, ID 83605-4802

Mailing address

2965 S Bergman Way
Eagle, ID 83616-4986
Phone (208) 949-8857

Other practice location 1

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-2235

Other identifiers 1

IdentifierTypeStateIssuer
808048600MedicaidID

Organizations & group practices 10

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.

Hospital & facility affiliations 7

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

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
New York Medical College, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carepoint Health Emergency Medicine Idaho PLLC 14 clinicians

Practice addresses (Care Compare)

1717 Arlington Ave
Caldwell, ID 83605-4802
Phone (208) 459-4641

Hospital & facility affiliations

  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006
  • St Luke'S Elmore Medical Center Hospital, Mountain Home, ID, CCN 131311
  • St Luke'S Nampa Medical Center Hospital, Nampa, ID, CCN 130071
  • West Valley Medical Center Hospital, Caldwell, ID, CCN 130014

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
81.29
Promoting interoperability
100
Improvement activities
40
Cost
76.37

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080617000457 ID Practitioner - Emergency Medicine 3476624545 Reassigns benefits to 3 organizations
I20120907000672 TX Practitioner - Emergency Medicine 3476624545 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-10302IDMDEmergency Medicine Physician
P3936TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Treasure Valley LLC CurrentSince Mar 28, 2023 Accepting new patients
St Lukes Clinic-Treasure Valley LLC Emergency Medicine CurrentSince Mar 28, 2023 Accepting new patients
Carepoint Health Emergency Medicine Idaho, PLLC Emergency Medicine CurrentSince Jan 20, 2020 Accepting new patients
Texan Star Emergency Physicians PLLC Emergency Medicine CurrentSince Apr 29, 2020 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Sep 1, 2012 Accepting new patients
Lone Star Emergency Associates LLC Emergency Medicine CurrentSince Dec 20, 2018 Accepting new patients
Woolner Enterprises PC Past Accepting new patients
Idaho Emergency Physicians, P.a. Emergency Medicine PastSince Dec 1, 2011 Accepting new patients

Locations

610 W Hays St
Boise, ID 83702
Phone (208) 345-3530

190 E Bannock St
Boise, ID 83712
Phone (208) 381-2378

1717 Arlington Ave
Caldwell, ID 83605
Phone (208) 455-3719

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

17500 W Grand Pkwy S
Sugar Land, TX 77479
Phone (281) 725-5000

1200 Carl Ramert Dr
Yoakum, TX 77995
Phone (361) 293-2321

Interoperability endpoints

  • Direct secure messaging: bmossmd28325@direct.utmb.edu

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1033384201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2965 S BERGMAN WAY",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836164986",
            "telephone_number": "208-949-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 ARLINGTON AVE",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054802",
            "telephone_number": "208-459-4641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 E Bannock St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837126241",
            "country_code": "US",
            "telephone_number": "208-381-2235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSS",
        "first_name": "BRIAN",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "M-10302",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P3936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808048600",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

Verify at the official NPI Registry.