Active NPI
Bernard A Moule, MD
- Urology Physician
- E Providence, RI
National Provider Identifier
1629180757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD05366
- Practice address
- 450 Veterans Memorial Pkwy
Building 14
E Providence, RI 02914-5300 - Phone
- (401) 435-6600
- NPI assigned
- Aug 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD05366 | RI | Primary |
Addresses
Primary practice location
450 Veterans Memorial Pkwy
Building 14
E Providence, RI 02914-5300
Mailing address
281 Wickford Point Rd
N Kingstown, RI 02852-4050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9020355 | Medicaid | RI | |
| 20355 | Other | RI | BLUE SHIELD |
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD05366 | RI | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Urological Associates, Inc. | Urology | Past | Accepting new patients |
| University Urological Associates, Inc. | Past | Accepting new patients | |
| Universtiy Urological Associates, Inc. | Urology | Past | Accepting new patients |
| Univerity Urological Associates, Inc. | Urology | Past | Accepting new patients |
| University Urological Associates, Inc | Urology | Past | Accepting new patients |
| University Urological Associates, Inc. | Urology | Past | Accepting new patients |
| University Urological Associates, Inc. | Urology | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Urology Physician
- Warren, RI
- NPI 1467738823
-
- Urology Physician
- East Greenwich, RI
- NPI 1396058087
-
- Urology Physician
- Warwick, RI
- NPI 1346410032
-
- Urology Physician
- Warwick, RI
- NPI 1508142969
-
- Urology Physician
- Bristol, RI
- NPI 1427228113
-
- Urology Physician
- Plainville, MA
- NPI 1326218025
-
- Pediatric Urology Physician
- Taunton, MA
- NPI 1578876272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1629180757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 WICKFORD POINT RD",
"city": "N KINGSTOWN",
"state": "RI",
"postal_code": "028524050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 VETERANS MEMORIAL PKWY",
"address_2": "BUILDING 14",
"city": "E PROVIDENCE",
"state": "RI",
"postal_code": "029145300",
"telephone_number": "401-435-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOULE",
"first_name": "BERNARD",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "RI",
"license": "MD05366",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9020355",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "20355",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in E Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.