Individual provider Active NPI

Bradley J. Moore, PA

  • Physician Assistant
  • Knoxville, TN
National Provider Identifier
1346514692
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2115 Issued in TN
Practice address
1600 Accelerator Way Ste 200
Knoxville, TN 37920-3078
Phone
(865) 546-2663
Fax
(865) 546-9047
NPI assigned
Mar 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2115 TN Primary
Surgical Physician Assistant 363AS0400X 2115 TN

Addresses

Primary practice location

1600 Accelerator Way Ste 200
Knoxville, TN 37920-3078

Mailing address

8320 E Walker Springs LN Ste 200
Knoxville, TN 37923-3120
Phone (865) 769-4500

Other practice location 1

1926 Alcoa Hwy
Bldg. F, Suite 210
Knoxville, TN 37920-1545
Phone (865) 546-2663

Other identifiers 4

IdentifierTypeStateIssuer
1528209MedicaidTN
4328037OtherTNBLUECROSS BLUESHIELD - PA AT SURGERY
4323294OtherTNBLUECROSS BLUESHIELD
P01243057OtherTNRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120411000045 TN Practitioner - Physician Assistant 0547421083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthotennessee PCGroup PAC ID 3476453572, 152 clinicians
Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

Practice addresses (Care Compare)

11440 Parkside Dr
Suite 110
Knoxville, TN 37934-2658
Phone (865) 218-9330

1600 Accelerator Way
Knoxville, TN 37920-3078

256 Fort Sanders W Blvd
Suite 200
Knoxville, TN 37922-3355
Phone (865) 558-4491

260 Fort Sanders W Blvd
Knoxville, TN 37922-3355
Phone (865) 558-4400

7228 Norris Fwy
Knoxville, TN 37918-5744
Phone (865) 377-3176

7750 Dannaher Dr
Powell, TN 37849-4039
Phone (865) 512-1140

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

Merit-based Incentive Payment System (MIPS)

Final score
85.88 of 100Reported as group
Quality
81.99
Promoting interoperability
100
Improvement activities
40
Cost
70.94

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2115TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orthotennessee, PC CurrentSince Mar 1, 2012 Accepting new patients
Orthotennessee, PC CurrentSince Mar 1, 2012 Accepting new patients
Orthotennessee, PC Past Accepting new patients
Orthotennessee, PC Past Accepting new patients

Locations

1855 Tanner Way
Ste 110
Harriman, TN 37748
Phone (865) 376-2775

1932 Alcoa Hwy
Ste 360
Knoxville, TN 37920
Phone (865) 546-2663

11440 Parkside Dr
Ste 110
Knoxville, TN 37934
Phone (865) 218-9300

1422 Old Weisgarber Rd
Knoxville, TN 37909
Phone (865) 558-4480

1551 Lake Loudon Blvd
Knoxville, TN 37916
Phone (865) 475-4484

8320 E Walker Springs Ln
Ste 200
Knoxville, TN 37923

260 Fort Sanders West Blvd
Knoxville, TN 37922
Phone (865) 769-4500

1600 Accelerator Way
Ste 200
Knoxville, TN 37920
Phone (865) 546-2663

827 E Lamar Alexander Pkwy
Maryville, TN 37804
Phone (423) 984-0900

381 Kuhn Ln
Morristown, TN 37813
Phone (865) 475-4484

90 Vermont Ave
Ste 300
Oak Ridge, TN 37830
Phone (865) 481-2541

7750 Dannaher Dr
Powell, TN 37849
Phone (865) 512-1140

1130 Middle Creek Rd
Ste 270
Sevierville, TN 37862
Phone (865) 365-3074

Interoperability endpoints

  • Direct secure messaging: bradley.moore.p1@direct.orthotn.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1346514692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8320 E WALKER SPRINGS LN STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379233120",
            "telephone_number": "865-769-4500",
            "fax_number": "865-769-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ACCELERATOR WAY STE 200",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379203078",
            "telephone_number": "865-546-2663",
            "fax_number": "865-546-9047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1926 Alcoa Hwy",
            "address_2": "Bldg. F, Suite 210",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379201545",
            "country_code": "US",
            "telephone_number": "865-546-2663",
            "fax_number": "865-546-9047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRADLEY",
        "middle_name": "J.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-05",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2115",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TN",
            "license": "2115",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528209",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD -  PA AT SURGERY",
            "identifier": "4328037",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "4323294",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01243057",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.