Active NPI
Bahram T Moshiri, M.D.
- Surgery Physician
- Lexington, KY
National Provider Identifier
1386995132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 26284
- Practice address
- 4033 Castlebridge LN
Lexington, KY 40509-4529 - Phone
- (859) 523-0210
- NPI assigned
- Sep 19, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 26284 | KY | Primary |
Addresses
Primary practice location
4033 Castlebridge LN
Lexington, KY 40509-4529
Mailing address
4033 Castlebridge LN
Lexington, KY 40509-4529
Phone (859) 523-0210
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26284 | KY | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348012800000",
"number": "1386995132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4033 CASTLEBRIDGE LN",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405094529",
"telephone_number": "859-523-0210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4033 CASTLEBRIDGE LN",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405094529",
"telephone_number": "859-523-0210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSHIRI",
"first_name": "BAHRAM",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-19",
"last_updated": "2012-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "KY",
"license": "26284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.