Active NPI
Brian Franklin Moore, CPO
- Prosthetist
- Slidell, LA
National Provider Identifier
1487743696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- Practice address
- 172 Commercial SQ
Slidell, LA 70461-5418 - Phone
- (985) 649-2010
- Fax
- (985) 847-9205
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Prosthetist | 224P00000X | Primary |
Addresses
Primary practice location
172 Commercial SQ
Slidell, LA 70461-5418
Mailing address
172 Commercial Square
Slidell, LA 70461-5418
Phone (985) 649-2010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1199311 | Medicaid | LA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parr Prosthetics and Orthopedic AIDS | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Prosthetic/Orthotic Supplier
- Slidell, LA
- NPI 1972642569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1487743696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 COMMERCIAL SQUARE",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615418",
"telephone_number": "985-649-2010",
"fax_number": "985-847-9205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 COMMERCIAL SQ",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615418",
"telephone_number": "985-649-2010",
"fax_number": "985-847-9205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "BRIAN",
"middle_name": "FRANKLIN",
"name_prefix": "Mr.",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1199311",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.