James Bryan Moore III, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A45979 Issued in CA

Practice address

2700 Dolbeer Ave
Eureka, CA 95501

Phone

(707) 445-5431

Fax

(707) 445-3710

NPI assigned

Jan 25, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Diagnostic Radiology

Education

Michigan State University College of Human Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Humboldt Radiology Medical Group,IncGroup PAC ID 4082500046, shared by 2 NPIs, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006
• Mad River Community Hospital Hospital, Arcata, CA, CCN 050028
• Providence Redwood Memorial Hospital Hospital, Fortuna, CA, CCN 051318
• Jerold Phelps Community Hospital Hospital, Garberville, CA, CCN 051309

Merit-based Incentive Payment System (MIPS)

Final score

95.27 of 100Reported as individual

Quality

87.5

Improvement activities

40

Cost

77.51

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Humboldt Radiology Medical Group Inc

  • Diagnostic Radiology Physician
  • Eureka, CA
  • NPI 1326154196
  Medicare reassignment NPD
• Humboldt Radiology Medical Group,Inc.

  • Diagnostic Radiology Physician
  • New Hope, PA
  • NPI 1215374194
  Medicare reassignment NPD
• Humboldt Radiology Medical Group Inc

  • Diagnostic Radiology Physician
  • Fortuna, CA
  • NPI 1942709803
  NPD
• Diagnostic Imaging Inc

  • Diagnostic Radiology Physician
  • Philadelphia, PA
  • NPI 1093786410
  NPD (past)

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

• American Hospital Management Corporation

  • General Acute Care Hospital
  • Arcata, CA
  • NPI 1518996040
  Care Compare affiliation
• Southern Humboldt Community Healthcare District

  • Critical Access Hospital
  • Garberville, CA
  • NPI 1003819376
  Care Compare affiliation
• St. Joseph Health Northern California, LLC

  • Critical Access Hospital
  • Fortuna, CA
  • NPI 1043292303
  Care Compare affiliation
• St. Joseph Health Northern California, LLC

  • Critical Access Hospital
  • Fortuna, CA
  • NPI 1285849026
  Care Compare affiliation
• St. Joseph Health Northern California, LLC

  • Home Infusion Therapy Pharmacy
  • Eureka, CA
  • NPI 1568422319

  Hospital

  Care Compare affiliation
• St. Joseph Health Northern California, LLC

  • General Acute Care Hospital
  • Eureka, CA
  • NPI 1609858950
  Care Compare affiliation
• St. Joseph Health Northern California, LLC

  • General Acute Care Hospital
  • Eureka, CA
  • NPI 1891900635
  Care Compare affiliation

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319241600000",
    "number": "1194795849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 CIRCLE VIEW DRIVE",
            "city": "NEW HOPE",
            "state": "PA",
            "postal_code": "18938",
            "telephone_number": "707-845-1628",
            "fax_number": "707-445-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 DOLBEER AVE",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "95501",
            "telephone_number": "707-445-5431",
            "fax_number": "707-445-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JAMES",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2011-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD425429",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A45979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101227147",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Monrad, L.AC.
• Laurie Ann Monroe, LCSW
• Angela Monson
• Kim Ann Moor, MFT
• Holly Marie Moore, ASW
• Joanna Moore
• Peter Moore, LMFT
• Richard Brian Moore, M.D.
• Steven Moore, REGISTERED NURSE
• Teal Moore

• Diagnostic Radiology Physician in Eureka, CA
• Providers in Eureka, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.