Individual provider Active NPI

Robert C Moran, M.D.

  • General Practice Physician
  • El Paso, TX
National Provider Identifier
1356016042
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35063 Issued in NE
Practice address
18511 Highlander Medics Street Wbamc,
MCHM-Dos-GSR
El Paso, TX 79906
Phone
(915) 742-0730
Fax
(915) 742-7889
NPI assigned
Aug 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 35063 NE Primary

Addresses

Primary practice location

18511 Highlander Medics Street Wbamc,
MCHM-Dos-GSR
El Paso, TX 79906

Mailing address

18511 Highlander Medics Street Wbamc,
MCHM-Dos-GSR
El Paso, TX 79906
Phone (915) 742-0730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35063NEMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1356016042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18511 HIGHLANDER MEDICS STREET WBAMC,",
            "address_2": "MCHM-DOS-GSR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79906",
            "telephone_number": "915-742-0730",
            "fax_number": "915-742-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18511 HIGHLANDER MEDICS STREET WBAMC,",
            "address_2": "MCHM-DOS-GSR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79906",
            "telephone_number": "915-742-0730",
            "fax_number": "915-742-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAN",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-13",
        "last_updated": "2023-11-17",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "35063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.