Active NPI
Brian J Moore, D.O.
- Neonatal-Perinatal Medicine Physician
- Lexington, KY
National Provider Identifier
1497161046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 04133
- Practice address
- University of Kentucky 800 Rose St
Lexington, KY 40536-9203 - Phone
- (859) 323-2636
- NPI assigned
- Jul 3, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 04133 | KY | |
| Hospitalist Physician | 208M00000X | 04133 | KY | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 04133 | KY | Primary |
Addresses
Primary practice location
University of Kentucky 800 Rose St
Lexington, KY 40536-9203
Mailing address
138 Leader Ave RM 9a
Lexington, KY 40508-3215
Phone (859) 218-3895
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospitals East Communities | Past | Accepting new patients | |
| Mercy Hospital South | Past | Accepting new patients | |
| Baptist Healthcare System, Inc | Past | Accepting new patients | |
| Pediatrix Medical Group of Kentucky PSC | Neonatal-Perinatal Medicine | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Baptist Health Lexington
- General Acute Care Hospital
- Lexington, KY
- NPI 1538244918
-
- Neonatal-Perinatal Medicine Physician
- Lexington, KY
- NPI 1821195520
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547683200000",
"number": "1497161046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 LEADER AVE RM 9A",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405083215",
"telephone_number": "859-218-3895",
"fax_number": "859-257-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF KENTUCKY 800 ROSE ST",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405369203",
"telephone_number": "859-323-2636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "BRIAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-03",
"last_updated": "2019-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "04133",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "KY",
"license": "04133",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "KY",
"license": "04133",
"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 Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.