NPIMap

Individual provider Active NPI

Brian Clayton Moore, ARNP

  • Family Nurse Practitioner
  • Elgin, OK
National Provider Identifier
1821396946
Registry record updated Mar 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
79866 Issued in OK
Practice address
8148 State Highway 17
Elgin, OK 73538-9010
Phone
(580) 454-2273
NPI assigned
Mar 14, 2011
Last updated
Mar 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 79866 OK Primary

Addresses

Primary practice location

8148 State Highway 17
Elgin, OK 73538-9010

Mailing address

PO Box 70
Sterling, OK 73567-0070
Phone (580) 365-4533

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110622000115 OK Practitioner - Nurse Practitioner 0244418242 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Duncan Regional Hospital, IncGroup PAC ID 5193613057, 69 clinicians

Practice addresses (Care Compare)

8148 State Hwy 17
Elgin, OK 73538-9010
Phone (580) 454-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
79866OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Mid-America, P.C. CurrentSince Jan 5, 2018 Accepting new patients
Mercy Hospital Kingfisher, Inc Current Accepting new patients
Oklahoma Emergency Services PC CurrentSince Oct 1, 2016 Accepting new patients
Emergency Services of Oklahoma PC CurrentSince Feb 15, 2012 Accepting new patients
Duncan Regional Hospital, Inc CurrentSince Mar 1, 2024 Accepting new patients
Duncan Regional Hospital, Inc. Current Accepting new patients
Duncan Regional Hospital, Inc CurrentSince Mar 1, 2024 Accepting new patients
Duncan Regional Hospital, Inc. Past Accepting new patients
Duncan Regional Hospital, Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients
Duncan Regional Hospital Inc Past Accepting new patients

Locations

303 N Rodeo Dr
Comanche, OK 73529
Phone (580) 439-6869

2434 Harville Rd
Ste 601
Duncan, OK 73533
Phone (580) 252-1373

2515 N Whisenant Dr
Ste 300
Duncan, OK 73533
Phone (580) 251-6806

8148 State Highway 17
Elgin, OK 73538
Phone (580) 454-2273

1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

402 N Broadway St
Walters, OK 73572
Phone (580) 875-3347

Interoperability endpoints

  • Direct secure messaging: brian.moore@direct.drhhealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679011200000",
    "number": "1821396946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "STERLING",
            "state": "OK",
            "postal_code": "735670070",
            "telephone_number": "580-365-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8148 STATE HIGHWAY 17",
            "city": "ELGIN",
            "state": "OK",
            "postal_code": "735389010",
            "telephone_number": "580-454-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRIAN",
        "middle_name": "CLAYTON",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-14",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "79866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, OK

Sources for this page

Verify at the official NPI Registry.