Individual provider Active NPI

Brian Harold Moore, M.D.

  • Specialist
  • Bloomington, IN
National Provider Identifier
1871554527
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
01060196A Issued in IN
Practice address
813 W 2ND St
Bloomington, IN 47403-2212
Phone
(812) 330-0303
Fax
(812) 330-0404
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 01060196A IN Primary

Addresses

Primary practice location

813 W 2ND St
Bloomington, IN 47403-2212

Mailing address

813 W 2ND St
Bloomington, IN 47403-2212
Phone (812) 330-0303

Other identifiers 1

IdentifierTypeStateIssuer
200514350MedicaidIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050318000267 IN Practitioner - Neurology 3779538178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Indiana University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neurology Specialists, PCGroup PAC ID 6901873785, 3 clinicians

Practice addresses (Care Compare)

813 W 2ND St
Bloomington, IN 47403-2212
Phone (812) 330-0303

Hospital & facility affiliations

  • Indiana University Health Bloomington Hospital Hospital, Bloomington, IN, CCN 150051
  • Indiana University Health Bedford Hospital Hospital, Bedford, IN, CCN 151328
  • Greene County General Hospital Hospital, Linton, IN, CCN 151317
  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056
  • Monroe Hospital Hospital, Bloomington, IN, CCN 150183

Merit-based Incentive Payment System (MIPS)

Final score
73.75 of 100Reported as group
Quality
46.57
Improvement activities
40
Cost
78.43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01060196AINMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology Specialists, PC CurrentSince Jul 1, 2005 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2900 16th St
Bedford, IN 47421
Phone (812) 275-1200

1600 23rd St
Bedford, IN 47421
Phone (812) 275-3331

1501 J St
Ste 206
Bedford, IN 47421
Phone (812) 330-0303

813 W 2nd St
Bloomington, IN 47403
Phone (812) 330-0303

Interoperability endpoints

  • Direct secure messaging: brianmoore@ns.allscriptsdirect.net
  • Direct secure messaging: bmoore@yourcarecommunity.org

Organizations & group practices 2

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1871554527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032212",
            "telephone_number": "812-330-0303",
            "fax_number": "812-330-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 W 2ND ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032212",
            "telephone_number": "812-330-0303",
            "fax_number": "812-330-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRIAN",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01060196A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200514350",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.