Bradley J Moore, M.D.

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

2014009227 Issued in MO

Practice address

901 Heartland Road, Plaza 2 Suite 1800
St. Joseph, MO 64506

Phone

(816) 232-8877

Fax

(816) 232-0307

NPI assigned

Jun 23, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO, KS2 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

Urology

Education

University of Missouri, Columbia School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carroll County Memorial Hospital 64 clinicians

Phoenix Urology of St Joseph Inc 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carroll County Memorial Hospital Hospital, Carrollton, MO, CCN 261332
• Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
• Wright Memorial Hospital Hospital, Trenton, MO, CCN 261309
• Hiawatha Community Hospital Hospital, Hiawatha, KS, CCN 171341
• Mosaic Medical Center Albany Hospital, Albany, MO, CCN 261328

Merit-based Incentive Payment System (MIPS)

Final score

95.04 of 100Reported as group

Quality

90.08

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

69.76 of 100Reported as group

Quality

46.12

Promoting interoperability

100

Improvement activities

40

Cost

53.08

Merit-based Incentive Payment System (MIPS)

Final score

91.53 of 100Reported as group

Quality

83.61

Promoting interoperability

98

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

87.36 of 100Reported as group

Quality

81.83

Promoting interoperability

99

Improvement activities

40

Cost

74.61

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bradleymoore@phoenixuro.medalliesdirect.net
• FHIR API: https://epicmobile.corp.saint-lukes.org/FHIRPROXY/api/FHIR/R4

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.

• Carroll County Memorial Hospital

  • Critical Access Hospital
  • Carrollton, MO
  • NPI 1528067113

  MO

  Medicare reassignment Care Compare group NPD
• Phoenix Urology of St. Joseph, Inc.

  • Specialist
  • Saint Joseph, MO
  • NPI 1679674048

  KS, MO

  Medicare reassignment Care Compare group NPD
• Saint Luke'S Hospital of Trenton

  • Critical Access Hospital
  • Trenton, MO
  • NPI 1841274057

  MO

  Medicare reassignment NPD
• Mercury Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • St Joseph, MO
  • NPI 1538262118
  NPD
• Saint Luke'S Hospital of Trenton

  • Emergency Medicine Physician
  • Trenton, MO
  • NPI 1851572234
  NPD
• Saint Luke'S Hospital of Trenton

  • Rural Health Clinic/Center
  • Princeton, MO
  • NPI 1962877514
  NPD

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

• Carroll County Memorial Hospital

  • Critical Access Hospital
  • Carrollton, MO
  • NPI 1528067113

  Hospital

  Care Compare affiliation
• Heartland Regional Medical Center

  • General Acute Care Hospital
  • Saint Joseph, MO
  • NPI 1437259694

  Hospital

  Care Compare affiliation
• Northwest Medical Center Association Inc

  • Critical Access Hospital
  • Albany, MO
  • NPI 1306893268

  Hospital

  Care Compare affiliation
• Saint Luke'S Hospital of Trenton

  • Critical Access Hospital
  • Trenton, MO
  • NPI 1841274057

  Hospital

  Care Compare affiliation
• Hiawatha Hospital Association Inc

  • Critical Access Hospital
  • Hiawatha, KS
  • NPI 1255421210

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1295963783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 HEARTLAND ROAD, PLAZA 2 SUITE 1800",
            "city": "ST. JOSEPH",
            "state": "MO",
            "postal_code": "64506",
            "telephone_number": "816-232-8877",
            "fax_number": "816-232-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 HEARTLAND ROAD, PLAZA 2 SUITE 1800",
            "city": "ST. JOSEPH",
            "state": "MO",
            "postal_code": "64506",
            "telephone_number": "816-232-8877",
            "fax_number": "816-232-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRADLEY",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MO",
            "license": "2014009227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE TEMPORARY LICENCE",
            "identifier": "2009015677",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Modern Medical Mobility Inc
• Karan Mohan, M.D.
• Taniya Mohan, M.D.
• Kathleen Marie Monach, MPT
• Aubrey Jeaney Monical, RD
• Grace Moore, PT, DPT
• Jodi Aneta Moore, PHARMACIST
• Laura J Moore, MSW, LCSW
• Brittnie R Morgan, LCSW
• Michelle Morrison

• All providers in St. Joseph, MO
• Urology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.