Active NPI
Brad Robert Moser, M.D.
- Sports Medicine (Family Medicine) Physician
- Eden Prairie, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 44775
- Practice address
- 775 Prairie Center Dr
Suite 250
Eden Prairie, MN 55344-7314 - Phone
- (952) 944-2519
- Fax
- (952) 944-0460
- NPI assigned
- Aug 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 44775 | MN | Primary |
Addresses
Primary practice location
775 Prairie Center Dr
Suite 250
Eden Prairie, MN 55344-7314
Mailing address
6465 Wayzata Blvd
Suite 900
St Louis Park, MN 55426-1728
Phone (952) 512-5600
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP40350 | Other | HEALTHPARTNERS | |
| 328M7MO | Other | BLUECROSS BLUESHIELD | |
| 969991031808 | Other | PREFERREDONE | |
| 118708 | Other | MEDICA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 W 140TH St
Unit 201
Burnsville, MN 55337-4833
Phone (952) 808-3000
11225 Ulysses St NE
Blaine, MN 55434-4261
Phone (763) 302-2600
16800 37TH PL N
Plymouth, MN 55446-2805
Phone (763) 520-7870
2700 Vikings Cir
Eagan, MN 55121-1002
Phone (952) 456-7600
3111 124TH Ave NW
Suite 200
Coon Rapids, MN 55433-4573
Phone (763) 427-7300
4010 W 65TH St
Edina, MN 55435-1706
Phone (952) 456-7000
4040 Radio Dr
Woodbury, MN 55129-3237
Phone (651) 439-8807
4100 Minnesota Dr
Edina, MN 55435-5417
Phone (952) 456-7000
5601 96TH Ave N
Brooklyn Park, MN 55443-4505
Phone (763) 786-9543
5715 Memorial Ave N
Oak Park Heights, MN 55082-1093
Phone (651) 439-8807
820 Village Way
Waconia, MN 55387-4612
9630 Grove Cir N
Suite 200
Maple Grove, MN 55369-3492
Phone (763) 520-7870
965 Prairie Ctr Dr
Eden Prairie, MN 55344-3671
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.79 of 100
- Quality
- 95.08
- Improvement activities
- 40
- Cost
- 81.67
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Current | Accepting new patients | |
| Infinite Health Collaborative, PA | Past | Accepting new patients | |
| St. Croix Orthopaedics, PA | Past | Accepting new patients |
Locations
15650 Cedar Ave
Apple Valley, MN 55124
Phone (952) 997-4100
1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860
2700 Vikings Cir
Eagan, MN 55121
Phone (952) 456-7600
4010 W 65th St
Minneapolis, MN 55435
Phone (952) 456-7000
4200 Dahlberg Dr
Ste 300
Minneapolis, MN 55422
Phone (952) 512-5600
920 E 28th St
Ste 440
Minneapolis, MN 55407
Phone (612) 863-5155
2155 Ford Pkwy
Ste A
Saint Paul, MN 55116
Phone (651) 696-5000
Interoperability endpoints
- bradmoser@tw.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Bloomington, MN
- NPI 1164474250
-
- Durable Medical Equipment & Medical Supplies
- Hudson, WI
- NPI 1568840916
-
- Specialist
- Oak Park Heights, MN
- NPI 1255337945
-
- Durable Medical Equipment & Medical Supplies
- River Falls, WI
- NPI 1144608589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1770699555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6465 WAYZATA BLVD",
"address_2": "SUITE 900",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554261728",
"telephone_number": "952-512-5600",
"fax_number": "952-512-5650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 PRAIRIE CENTER DR",
"address_2": "SUITE 250",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553447314",
"telephone_number": "952-944-2519",
"fax_number": "952-944-0460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSER",
"first_name": "BRAD",
"middle_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "MN",
"license": "44775",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP40350",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "328M7MO",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERREDONE",
"identifier": "969991031808",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "118708",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.