Bradley Bancroft Moore, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

051691 Issued in GA

Practice address

9 Dunwoody Park
Suite 108
Atlanta, GA 30338-7407

Phone

(770) 393-1988

Fax

(770) 399-9638

NPI assigned

Mar 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: bradley.moore.1@5518.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alliance OB GYN PC

  • Obstetrics & Gynecology Physician
  • Alpharetta, GA
  • NPI 1922150077
  NPD (past)
• Womencare PA

  • Specialist
  • Orlando, FL
  • NPI 1366529042
  NPD (past)

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1699744847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DUNWOODY PARK",
            "address_2": "SUITE 108",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303387407",
            "telephone_number": "770-393-1988",
            "fax_number": "770-399-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DUNWOODY PARK",
            "address_2": "SUITE 108",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303387407",
            "telephone_number": "770-393-1988",
            "fax_number": "770-399-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRADLEY",
        "middle_name": "BANCROFT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "051691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "051691",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Berryman Moore, PSYD
• Anne L Moore, PSY.D.
• Armoni D Moore
• Ashby Malloy Moore, PA-C
• Ayjanah Rasheeda Sherie Moore, FNP- C, PMHNP-BC
• Brian Lee Moore, PH.D.
• Brittany Moore
• Brooks L Moore, MD
• Candice M. Moore, OD
• Carla J. Moore, PHD, RDN

• Obstetrics & Gynecology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.