John Steven Moore, M.D., M.P.H.

Primary specialty

Occupational Medicine PhysicianTaxonomy code 2083X0100X

License

J9222 Issued in TX

Practice address

13149 Hill Rd
College Station, TX 77845-9271

Phone

(979) 777-9673

NPI assigned

Jan 21, 2014

Sex

Male

Sole proprietor

Yes

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.

• Hospice Brazos Valley, Inc.

  • Community Based Hospice Care Agency
  • Bryan, TX
  • NPI 1245232149
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 21, 2014.

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1861815243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13149 HILL RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778459271",
            "telephone_number": "979-777-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13149 HILL RD",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778459271",
            "telephone_number": "979-777-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "JOHN",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-21",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "J9222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bianca Becho Montemayor
• Enrique Alfredo Montemayor
• Ramon Antonio Montemayor, DC
• Ally McKinney Montgomery
• Jeffrey Barrett Moore, DNP
• Rachel Ruth Lewis Moore, M.D.
• Stephanie K Moore, CRNA
• Brandi Morales, FNP-C
• Yamil Morales, CRNA
• Kate Rose Moran, MD

• All providers in College Station, TX
• Occupational Medicine Physician in Texas

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