Brian a Moogerfeld MD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

051598 Issued in GA

Legal business name

BRIAN A MOOGERFELD MD, LLC

Practice address

1088A Bermuda Run
Statesboro, GA 30458-0858

Phone

(912) 681-7111

Fax

(912) 871-7794

NPI assigned

Jan 5, 2011

Organization subpart

No

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

Authorized official

Name

Nichole Hope Haddock

Title

Office Manager

Phone

(912) 681-7111

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria A Moogerfeld, M.D.

  • Internal Medicine Physician
  • Statesboro, GA
  • NPI 1750439436
  NPD (past)

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294185600000",
    "number": "1154625226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088A BERMUDA RUN",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580858",
            "telephone_number": "912-681-7111",
            "fax_number": "912-871-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088A BERMUDA RUN",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580858",
            "telephone_number": "912-681-7111",
            "fax_number": "912-871-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN A MOOGERFELD MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-05",
        "last_updated": "2011-01-05",
        "status": "A",
        "authorized_official_last_name": "HADDOCK",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_middle_name": "HOPE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "912-681-7111"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "051598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charity Ruth Bray
• Bray, DMD & Young, DMD, PC
• Karen E Brazell, APRN
• Ashley Brewer
• Kristina Brewton, LPC
• Caenadi Bright
• Brighter Brains, LLC
• Keaundria Shaquille Broomfield, MT
• Tamaya Browder
• Alexander Young Brown III, DMD

• Internal Medicine Physician in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.