Gerhard Moeller, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · Alpine, TX
NPI 1508972142 · NPPES record last updated Jun 6, 2014
Key facts
- NPI
- 1508972142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- K9132 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K9132 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpine Diagnostic Imaging, PA | Diagnostic Radiology | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | K9132 | TX | Yes |
Addresses
Primary practice location
2600 N Highway 118
Diagnostic Radiology Department
Alpine, TX 79830-2002
Mailing address
2600 N Highway 118
Diagnostic Radiology Department
Alpine, TX 79830-2002
Phone (432) 837-0207
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145999202 | Medicaid | TX | |
| 8B0690 | Other | TX | BCBS PROVIDER # |
Other providers in Alpine, TX
- Amber Gayle McMullan
- Med-Trans Corporation
- Druanne R Mills
- Lidiore John A. Miranda
- Missionary Baptist Foundation of America, Inc
- Mehran Moradi
- Kelly Joann Newman
- David Frederik Nitschmann
- Shirley Ann Pearce
- Permain Basin Community Centers for MHMR
All providers in Alpine, TX · Diagnostic Radiology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.