Active NPI
Brian Keith Moore, MS, ATC
- Athletic Trainer
- Pittsburgh, PA
National Provider Identifier
1790749539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT000803A
- Practice address
- 4653 Clairton Blvd
Pittsburgh, PA 15236-2149 - Phone
- (412) 885-7515
- Fax
- (412) 885-6652
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT000803A | PA | Primary |
Addresses
Primary practice location
4653 Clairton Blvd
Pittsburgh, PA 15236-2149
Mailing address
1552 Cathell Rd
Pittsburgh, PA 15236-1110
Phone (412) 668-0481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT000803A | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790749539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1552 CATHELL RD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152361110",
"telephone_number": "412-668-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4653 CLAIRTON BLVD",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152362149",
"telephone_number": "412-885-7515",
"fax_number": "412-885-6652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOORE",
"first_name": "BRIAN",
"middle_name": "KEITH",
"name_prefix": "Mr.",
"credential": "MS, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT000803A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.