Bradley Lee Moses, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6975 Issued in LA

Practice address

7030 Youree Dr Ste B
Shreveport, LA 71105-5109

Phone

(318) 402-4604

NPI assigned

May 29, 2018

Last updated

Jun 7, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Moses Family Dentistry, LLC

  • Dental Clinic/Center
  • Gonzales, LA
  • NPI 1952007197
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1417448200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 HEARST ST APT 207",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011192",
            "telephone_number": "913-602-0519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 YOUREE DR STE B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055109",
            "telephone_number": "318-402-4604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "944 21st Ave N Apt 613",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372083450",
            "country_code": "US",
            "telephone_number": "913-602-0519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSES",
        "first_name": "BRADLEY",
        "middle_name": "LEE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Isaiah Mosel, DO
• Courtney Moseley
• Miranda R Moseley, LOTR
• Kaitlyn Mosely
• Anitra Shenell Moses
• Brandon Roy Moses
• Juanice Moses
• Shadonna Moses
• Wendy McBride Moses, MD
• Chizoba Amarachukwu Mosieri

• General Practice Dentistry in Shreveport, LA
• Providers in Shreveport, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; 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.