James Broderick Moore

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT1940 Issued in KY

Practice address

209 Evans Ave
Mt Sterling, KY 40353-9700

Phone

(859) 498-0011

NPI assigned

Dec 8, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Sterling Physical Therapy & Associates PSC

  • Physical Therapist
  • Mt Sterling, KY
  • NPI 1275684839
  NPD

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

{
    "created_epoch": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1285392191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 JOHNSTAN ST",
            "city": "OWINGSVILLE",
            "state": "KY",
            "postal_code": "403602029",
            "telephone_number": "606-336-1756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 EVANS AVE",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403539700",
            "telephone_number": "859-498-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JAMES",
        "middle_name": "BRODERICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT1940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montgomery Medical Services, PLLC
• Montgomery Radiation
• Montgomery Radiation Center LLC
• Abby R. Moore Mason, PA-C
• Allyson Moore
• Kimberly Moore
• Brion P Moran, M.D.
• Ellen Proctor Morgan, D.D.S.
• Allison Motley-Crouch, LCSW
• Mount Sterling Family Care Center PLLC

• Athletic Trainer in Mt Sterling, KY
• Providers in Mt Sterling, KY by specialty
• Athletic Trainer in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.