Bradley Keller Moyer, M.D.
Individual provider Active NPI Emergency Medicine Physician · Luray, VA
NPI 1740201490 · NPPES record last updated Mar 29, 2021
Key facts
- NPI
- 1740201490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 0101261803 (VA)
- Practice address
- 200 Memorial Dr
Luray, VA 22835-1000 - Phone
- (540) 743-8018
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170810002151 | VA | Practitioner - Emergency Medicine | 7618974106 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Page Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Emergency Medicine Associates, P.a.,P.C. | Current |
Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Current |
Accepting new patients | |
| Page Memorial Hospital, Inc. | Current |
Accepting new patients |
Locations
500 Martha Jefferson Dr
Charlottesvle, VA 22911
Phone (434) 654-7000
15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000
200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000
220 Campus Blvd
Ste 100
Winchester, VA 22601
Interoperability endpoints
- bmoyer701988@valleyhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101261803 | VA | Yes |
Addresses
Primary practice location
200 Memorial Dr
Luray, VA 22835-1000
Mailing address
220 Campus Blvd Ste 100
Winchester, VA 22601-2888
Phone (540) 535-5100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17782490001 | Medicaid | PA | |
| 321845 | Other | PA | HEALTH AMERICA |
| 930083979 | Other | PA | RAILROAD MEDICARE |
| 232809429 | Other | PA | TRICARE |
| 0838087 | Other | PA | BLUE SHIELD |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bmoyer701988@soc.inova.org |
Other providers in Luray, VA
- Mary Fleury Mayfield
- McKim and Huffman Inc
- Niklas Walter Mikelson
- Charles Miller
- David Brooke Miller
- Nicole Mueller
- MV Operations LLC
- Heather Najjar
- Ashley K Olenski
- Page County Schools
All providers in Luray, VA · Emergency Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.