Individual provider Active NPI

Bradley Keller Moyer, M.D.

  • Emergency Medicine Physician
  • Luray, VA
National Provider Identifier
1740201490
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101261803 Issued in VA
Practice address
200 Memorial Dr
Luray, VA 22835-1000
Phone
(540) 743-8018
NPI assigned
Jul 21, 2006
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101261803 VA Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bmoyer701988@soc.inova.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170810002151 VA Practitioner - Emergency Medicine 7618974106 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101261803VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Page Memorial Hospital, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Jul 1, 2023 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jul 1, 2023 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

  • Direct secure messaging: bmoyer701988@soc.inova.org
  • Direct secure messaging: bmoyer701988@valleyhealth.direct-ci.com

Organizations & group practices 5

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1740201490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CAMPUS BLVD STE 100",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226012888",
            "telephone_number": "540-535-5100",
            "fax_number": "540-536-0235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEMORIAL DR",
            "city": "LURAY",
            "state": "VA",
            "postal_code": "228351000",
            "telephone_number": "540-743-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "BRADLEY",
        "middle_name": "KELLER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101261803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmoyer701988@soc.inova.org",
            "affiliation": "N",
            "address_1": "200 Memorial Dr",
            "city": "Luray",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228351000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Luray, VA

Sources for this page

Verify at the official NPI Registry.