Individual provider Active NPI

Bernard A Moule, MD

  • Urology Physician
  • E Providence, RI
National Provider Identifier
1629180757
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD05366 Issued in RI
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

Updated by the provider on Feb 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9020355MedicaidRI
20355OtherRIBLUE 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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD05366RIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Urological Associates, Inc. Urology PastSince Jan 1, 1990 Accepting new patients
University Urological Associates, Inc. PastSince Jan 1, 1990 Accepting new patients
Universtiy Urological Associates, Inc. Urology PastSince Jan 1, 1990 Accepting new patients
Univerity Urological Associates, Inc. Urology PastSince Jan 1, 1990 Accepting new patients
University Urological Associates, Inc Urology PastSince Jan 1, 1990 Accepting new patients
University Urological Associates, Inc. Urology PastSince Jan 1, 1990 Accepting new patients
University Urological Associates, Inc. Urology PastSince Jan 1, 1990 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.

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.

Verify at the official NPI Registry.