Austin Randall Moody II, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

G3620 Issued in TX

Practice address

7400 Merton Minter St
Neuro Section, Mail Stop 111D
San Antonio, TX 78229-4404

Phone

(830) 285-4096

Fax

(830) 896-3310

NPI assigned

Jul 4, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Randall Moody II MD PA

  • Neurology Physician
  • San Antonio, TX
  • NPI 1740219682
  Authorized official Same address or phone
• Syed T Ali MD PLLC

  • Neurology Physician
  • Las Vegas, NV
  • NPI 1366889495
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1053341875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 QUINLAN STREET",
            "address_2": "PMB #373",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "78028",
            "telephone_number": "830-285-4096",
            "fax_number": "830-896-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 MERTON MINTER ST",
            "address_2": "NEURO SECTION, MAIL STOP 111D",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294404",
            "telephone_number": "830-285-4096",
            "fax_number": "830-896-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "AUSTIN",
        "middle_name": "RANDALL",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "G3620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034299003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Monyancha
• Monzermd LLC
• Kelsi Monzingo
• Moody Counseling Services, PLLC
• Adam Moody, APRN, FNP-C, CEN
• Eliana Moody
• Gabrielle Kristine Moody, MS, LPC
• James L. Moody, OT
• Joe Moody, RRT
• Joe Marshall Moody Jr., M.D.

• Neurology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.