Individual provider Active NPI

Brian Gary Moore, DC

  • Chiropractor
  • Greensburg, PA
National Provider Identifier
1225059876
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC005978L Issued in PA
Practice address
212 E Pittsburgh St
Greensburg, PA 15601-3328
Phone
(724) 838-7700
Fax
(724) 838-7200
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC005978L PA Primary

Addresses

Primary practice location

212 E Pittsburgh St
Greensburg, PA 15601-3328

Mailing address

212 E Pittsburgh St
Greensburg, PA 15601-3328
Phone (724) 838-7700

Other identifiers 1

IdentifierTypeStateIssuer
0019074800002MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060308000262 PA Practitioner - Chiropractic 1951318443 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Chiropractic Healthcare LLCGroup PAC ID 1355355314, 2 clinicians
Dr John D. Biss P.C.Group PAC ID 2860535598, 2 clinicians

Practice addresses (Care Compare)

212 E Pittsburgh St
Greensburg, PA 15601-3328
Phone (724) 836-0282

612 Oak St
Irwin, PA 15642-3528
Phone (724) 864-5660

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC005978LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Chiropractic Healthcare LLC Chiropractor CurrentSince Jan 1, 2006 Accepting new patients
Detrick & Kelly Chiropractic Clinic Inc Chiropractor CurrentSince Jan 1, 2006 Accepting new patients
Laurel Anesthesia Associates, PC Past Accepting new patients

Locations

520 Rugh St
Greensburg, PA 15601
Phone (724) 757-5011

212 E Pittsburgh St
Greensburg, PA 15601
Phone (724) 836-0282

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1225059876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 E PITTSBURGH ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156013328",
            "telephone_number": "724-838-7700",
            "fax_number": "724-838-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E PITTSBURGH ST",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156013328",
            "telephone_number": "724-838-7700",
            "fax_number": "724-838-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRIAN",
        "middle_name": "GARY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005978L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019074800002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.