Bryan Eugene Moore, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

15725 Issued in AR

Practice address

412 Ponce de Leon Dr
Ste B
Hot Springs Village, AR 71909-8121

Phone

(501) 915-9800

NPI assigned

Dec 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1598828709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 PONCE DE LEON DR",
            "address_2": "STE B",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719098121",
            "telephone_number": "501-915-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 PONCE DE LEON DR",
            "address_2": "STE B",
            "city": "HOT SPRINGS VILLAGE",
            "state": "AR",
            "postal_code": "719098121",
            "telephone_number": "501-915-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRYAN",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4273",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "15725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael R. Wainsccott D.D.S. P.a.
• Michael Stephen Harrison, Jr, D.D.S. P.a.
• Russell Garrett Mills
• Martin Keven Milner, MS,PT
• Slade Mooney
• Angie Lynn Morrow, DPT
• Hallie Rose Movva, RD
• Rodonna Ranola Needles, PT
• Jimmy Dale New
• Karin Owens

• Chiropractor in Hot Springs Village, AR
• Providers in Hot Springs Village, AR by specialty
• Chiropractor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.