Individual provider Active NPI

Victor Bernard Moreland Jr.

  • Nurse Practitioner
  • Saint Hedwig, TX
National Provider Identifier
1154201499
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1035715 Issued in TX
Practice address
4239 Busbee FLDS
Saint Hedwig, TX 78152-0359
Phone
(913) 206-0039
NPI assigned
Sep 5, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1035715 TX Primary

Addresses

Primary practice location

4239 Busbee FLDS
Saint Hedwig, TX 78152-0359

Mailing address

4239 Busbee FLDS
Saint Hedwig, TX 78152-0359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2032 Brookewood Dr
Toms River, NJ 08755-1105

338 Whitesville Rd
Suite 103
Jackson, NJ 08527-5097

415 W Golf Rd
Arlington Heights, IL 60005-3923

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1035715TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1154201499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4239 BUSBEE FLDS",
            "city": "SAINT HEDWIG",
            "state": "TX",
            "postal_code": "781520359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4239 BUSBEE FLDS",
            "city": "SAINT HEDWIG",
            "state": "TX",
            "postal_code": "781520359",
            "telephone_number": "913-206-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORELAND",
        "first_name": "VICTOR",
        "middle_name": "BERNARD",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1035715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Hedwig, TX

Sources for this page

Verify at the official NPI Registry.