Bradford L Moss, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

50948 Issued in CO

Practice address

550 W Hwy 50
Salida, CO 81201-2238

Phone

(719) 530-2048

Fax

(719) 530-2055

NPI assigned

Jul 24, 2006

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 CO

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IDDCAA

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.

• Salida Hospital District

  • Internal Medicine Physician
  • Salida, CO
  • NPI 1972778272
  Medicare reassignment
• Salida Hospital District

  dba Heart of the Rockies Regional Medical Center

  • Critical Access Hospital
  • Salida, CO
  • NPI 1730258971
  NPD
• City Cardiology Associates

  • Cardiovascular Disease Physician
  • Barberton, OH
  • NPI 1881758845
  NPD (past)
• Partners Physician Group

  dba Community Access and Wellness - HWE

  • Public Health & General Preventive Medicine Physician
  • Akron, OH
  • NPI 1164814414
  NPD (past)
• Partners Physician Group

  dba Canal Physician Group

  • Family Medicine Physician
  • Akron, OH
  • NPI 1548207111
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1366464729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W US HIGHWAY 50",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012238",
            "telephone_number": "719-530-2000",
            "fax_number": "719-530-2055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W HWY 50",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812012238",
            "telephone_number": "719-530-2048",
            "fax_number": "719-530-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "BRADFORD",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CO",
            "license": "50948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609050",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Mockler
• Monarch Anesthesia LLC
• Natalie Dawn Moore, LPC
• Sandra Morgan
• Joellen Mosholder, NP
• Devon Moughan-Phillips
• Amy Louise Muller, M. D.
• Kimberly Mund-Wolkenbreit, RN,IBCLC
• Diane Christina Napoli, M.D.
• Sarah Nazzaro, PT

• Urology Physician in Salida, CO
• Providers in Salida, CO by specialty
• Urology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.