Organization Active NPI

Bufford D Moore MD PA

  • Plastic Surgery Physician
  • Baytown, TX
National Provider Identifier
1760639934
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
Legal business name
BUFFORD D MOORE MD PA
Practice address
2802 Garth Rd
Ste 301
Baytown, TX 77521-3900
Phone
(281) 422-5000
Fax
(281) 422-5005
NPI assigned
Aug 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Authorized official

Name
Dr. Bufford D Moore, M.D.
Title
President
Phone
(281) 422-5000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X Primary
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0105X

Addresses

Primary practice location

2802 Garth Rd
Ste 301
Baytown, TX 77521-3900

Mailing address

2802 Garth Rd
Ste 301
Baytown, TX 77521-3900
Phone (281) 422-5000

Other identifiers 2

IdentifierTypeStateIssuer
205624402MedicaidTX
TXB149130OtherTXMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

4109 Allenbrook Dr
Baytown, TX 77521
Phone (281) 422-3546

2802 Garth Rd
Ste 301
Baytown, TX 77521
Phone (281) 422-5000

1682 W Baker Rd
Baytown, TX 77521
Phone (281) 422-5000

1682 W Baker Rd
Ste B
Baytown, TX 77521
Phone (281) 422-5000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1760639934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 GARTH RD",
            "address_2": "STE 301",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213900",
            "telephone_number": "281-422-5000",
            "fax_number": "281-422-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 GARTH RD",
            "address_2": "STE 301",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775213900",
            "telephone_number": "281-422-5000",
            "fax_number": "281-422-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFORD D MOORE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BUFFORD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-422-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205624402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB149130",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.