NPIMap

Individual provider Active NPI

Bradley T Moore, DO

  • Family Medicine Physician
  • Wayland, KY
National Provider Identifier
1629062807
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02916 Issued in KY
Practice address
2662 King Kelly Coleman Hwy
Wayland, KY 41666-8321
Phone
(606) 358-4211
Fax
(606) 358-4215
NPI assigned
Sep 2, 2005
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02916 KY Primary

Addresses

Primary practice location

2662 King Kelly Coleman Hwy
Wayland, KY 41666-8321

Mailing address

2662 King Kelly Coleman Hwy
Wayland, KY 41666-8321
Phone (606) 358-4211

Other identifiers 1

IdentifierTypeStateIssuer
64106719MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bradleymoore@arh.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050705000189 KY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 4486690179 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arh Mary Breckinridge Health Services, Inc.Group PAC ID 8123293818, shared by 19 NPIs, 87 clinicians

Practice addresses (Care Compare)

2662 King Kelly Coleman Hwy
Wayland, KY 41666
Phone (606) 358-4211

80 Hospital Dr
Barbourville, KY 40906-7363
Phone (606) 545-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.15 of 100Reported as apm
Quality
47.14
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
83.57 of 100Reported as group
Quality
50.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Arh Mary Breckinridge Health Services, Inc. Current Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Current Accepting new patients
Arh Tug Valley Health Services, Inc. Current Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Sep 24, 2021 Accepting new patients
Arh Tug Valley Health Services, Inc. CurrentSince Jan 3, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc CurrentSince Nov 19, 2007 Accepting new patients
Appalachian Regional Healthcare, Inc Current Accepting new patients
Arh Tug Valley Health Services, Inc. CurrentSince Jan 3, 2022 Accepting new patients
Appalachian Regional Healthcare, Inc. CurrentSince Nov 19, 2007 Accepting new patients
Arh Mary Breckinridge Health Services, Inc. CurrentSince Nov 1, 2014 Accepting new patients
Appalachian Regional Healthcare, Inc Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Appalachian Regional Healthcare, Inc. Past Accepting new patients
Arh Mary Breckinridge Health Services, Inc. Past Accepting new patients

Locations

80 Hospital Dr
Barbourville, KY 40906
Phone (606) 545-5500

37 Ball Park Rd
Harlan, KY 40831
Phone (606) 263-3900

100 Airport Gardens Rd
Hazard, KY 41701
Phone (606) 216-5145

130 Kate Ireland Dr
Hyden, KY 41749
Phone (606) 672-2341

77 Millard Allen Dr E
Lackey, KY 41643
Phone (606) 358-2381

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

5000 Ky Route 321
Ste 1001
Prestonsburg, KY 41653
Phone (606) 889-6390

306 Hospital Dr
South Williamson, KY 41503
Phone (606) 237-1700

2662 King Kelly Coleman Hwy
Wayland, KY 41666
Phone (606) 358-4211

214 Hospital Rd
Whitesburg, KY 41858
Phone (606) 633-3631

Interoperability endpoints

  • Direct secure messaging: bradleymoore@arh.medalliesdirect.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1629062807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2662 KING KELLY COLEMAN HWY",
            "city": "WAYLAND",
            "state": "KY",
            "postal_code": "416668321",
            "telephone_number": "606-358-4211",
            "fax_number": "606-358-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2662 KING KELLY COLEMAN HWY",
            "city": "WAYLAND",
            "state": "KY",
            "postal_code": "416668321",
            "telephone_number": "606-358-4211",
            "fax_number": "606-358-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRADLEY",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64106719",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bradleymoore@arh.medalliesdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Standard Direct Functionality",
            "address_1": "2662 King Kelly Coleman Hwy",
            "city": "Wayland",
            "state": "KY",
            "country_code": "US",
            "postal_code": "416668321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wayland, KY

Sources for this page

Verify at the official NPI Registry.