Bruce Moffatt, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

47834 Issued in AZ

Practice address

2525 E Arizona Biltmore Cir Ste D142
Phoenix, AZ 85016

Phone

(602) 385-0430

Fax

(602) 256-0795

NPI assigned

Jul 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Laser Spine Institute of Arizona, LLC

  • Specialist
  • Scottsdale, AZ
  • NPI 1174778484
  NPD (past)
• Gcoc Physical Therapy

  • Physical Therapy Clinic/Center
  • Hudson, FL
  • NPI 1861546061
  NPD (past)
• Gulf Coast Orthopedic Center

  • Orthopaedic Surgery of the Spine Physician
  • Hudson, FL
  • NPI 1487765566

  Neurological Surgery

  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1124033709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 E ARIZONA BILTMORE CIR STE D142",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162147",
            "telephone_number": "602-385-0430",
            "fax_number": "602-256-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 E ARIZONA BILTMORE CIR STE D142",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85016",
            "telephone_number": "602-385-0430",
            "fax_number": "602-256-0795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 E Arizona Biltmore Cir Ste D142",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "85016",
            "country_code": "US",
            "telephone_number": "602-385-0430",
            "fax_number": "602-256-0795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOFFATT",
        "first_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-30",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "AZ",
            "license": "47834",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME91980",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Moed, MC
• Dillon Moeller, DPT
• Margaret Mary Moes de Zamora, RN
• Devin Bruce Moffat, DO
• Matthew S Moffat
• Rodney Moffett, CRNA
• Drew V Moffitt, MD
• Maricela P Moffitt, MD
• Robert Moffitt, M.D.
• Susan Marie Moffitt, LPC

• Neurological Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Neurological Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.