Gerhard Moeller, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

K9132 Issued in TX

Practice address

2600 N Highway 118
Diagnostic Radiology Department
Alpine, TX 79830-2002

Phone

(432) 837-0207

Fax

(432) 837-0275

NPI assigned

Aug 23, 2006

Last updated

Jun 6, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Alpine Diagnostic Imaging, PA

  • Diagnostic Radiology Physician
  • Alpine, TX
  • NPI 1851499792
  NPD (past) Authorized official

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402012800000",
    "number": "1508972142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N HIGHWAY 118",
            "address_2": "DIAGNOSTIC RADIOLOGY DEPARTMENT",
            "city": "ALPINE",
            "state": "TX",
            "postal_code": "798302002",
            "telephone_number": "432-837-0207",
            "fax_number": "432-837-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N HIGHWAY 118",
            "address_2": "DIAGNOSTIC RADIOLOGY DEPARTMENT",
            "city": "ALPINE",
            "state": "TX",
            "postal_code": "798302002",
            "telephone_number": "432-837-0207",
            "fax_number": "432-837-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOELLER",
        "first_name": "GERHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2014-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K9132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "8B0690",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145999202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Gayle McMullan, MPT
• Med-Trans Corporation
• Druanne R Mills
• Lidiore John A. Miranda
• Missionary Baptist Foundation of America, Inc (Alpine Valley Care Center)
• Mehran Moradi, DO
• Kelly Joann Newman, LMT, PLT
• David Frederik Nitschmann, MD
• Shirley Ann Pearce, BS, LVN
• Permain Basin Community Centers for MHMR

• Diagnostic Radiology Physician in Alpine, TX
• Providers in Alpine, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.