Individual provider Active NPI

Brian Scott Moyers, MD

  • Clinical Cardiac Electrophysiology Physician
  • Portland, OR
National Provider Identifier
1922274828
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MD168013 Issued in OR
Practice address
10000 SE Main St Ste 60
Portland, OR 97216-2474
Phone
(503) 257-0959
Fax
(503) 257-3457
NPI assigned
May 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X MD168013 OR Primary
Internal Medicine Physician 207R00000X A103621 CA
Cardiovascular Disease Physician 207RC0000X MD168013 OR

Addresses

Primary practice location

10000 SE Main St Ste 60
Portland, OR 97216-2474

Mailing address

10000 SE Main St Ste 60
Portland, OR 97216-2474
Phone (503) 257-0959

Other practice location 1

2700 SE Stratus Ave Unit 406
McMinnville, OR 97128-6258
Phone (503) 435-1200

Other practice location 2

2222 NW Lovejoy St
Ste. 606
Portland, OR 97210-3033
Phone (503) 229-7554

Other practice location 3

2222 NW Lovejoy St
Ste. 606
Portland, OR 97210-3033
Phone (503) 229-7554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20141030000502 OR Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 8527289883 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Electrophysiology
Education
University of California, San Francisco School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portland Adventist Medical CenterGroup PAC ID 3274908819, 273 clinicians

Practice addresses (Care Compare)

10000 SE Main St
Suite 60
Portland, OR 97216-2474
Phone (503) 257-0959

Hospital & facility affiliations

  • Adventist Health Portland Hospital, Portland, OR, CCN 380060
  • Willamette Valley Medical Center Hospital, McMinnville, OR, CCN 380071

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A103621CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Adventist Medical Center CurrentSince Aug 1, 2017 Accepting new patients
Mid-Columbia Medical Center CurrentSince Sep 1, 2021 Accepting new patients
Portland Adventist Medical Center Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Portland Adventist Medical Center CurrentSince Jul 8, 2023 Accepting new patients
Healthcare for the Mid-Columbia Region Current Accepting new patients
Portland Adventist Medical Center Internal Medicine CurrentSince Jul 8, 2023 Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients

Locations

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

14450 SE Royer Rd
Damascus, OR 97089
Phone (503) 658-5521

2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200

2700 SE Stratus Ave
Unit 406
McMinnville, OR 97128
Phone (503) 435-1200

2222 NW Lovejoy St
Ste 606
Portland, OR 97210
Phone (503) 229-7554

10000 SE Main St
Ste 60A
Portland, OR 97216
Phone (503) 257-0959

10000 SE Main St
Ste 60
Portland, OR 97216
Phone (503) 257-0959

1805 E 19th St
The Dalles, OR 97058
Phone (541) 296-2201

1700 E 19th St
The Dalles, OR 97058
Phone (541) 296-7251

Interoperability endpoints

  • Direct secure messaging: bmoyers141018@direct.ohsu.edu

Organizations & group practices 7

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 2

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": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1922274828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST STE 60",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162474",
            "telephone_number": "503-257-0959",
            "fax_number": "503-257-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST STE 60",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162474",
            "telephone_number": "503-257-0959",
            "fax_number": "503-257-3457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 SE Stratus Ave Unit 406",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971286258",
            "country_code": "US",
            "telephone_number": "503-435-1200",
            "fax_number": "503-434-9572",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 NW Lovejoy St",
            "address_2": "Ste. 606",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972103033",
            "country_code": "US",
            "telephone_number": "503-229-7554",
            "fax_number": "503-274-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 NW Lovejoy St",
            "address_2": "Ste. 606",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972103033",
            "country_code": "US",
            "telephone_number": "503-229-7554",
            "fax_number": "503-274-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOYERS",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "OR",
            "license": "MD168013",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A103621",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD168013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.