Individual provider Active NPI

Brady Lawrence Moore, PA-C

  • Physician Assistant
  • Moorestown, NJ
National Provider Identifier
1992674824
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00993400 Issued in NJ
Practice address
300 W Route 38 Ste a
Moorestown, NJ 08057-3424
Phone
(609) 267-9400
Fax
(856) 234-3921
NPI assigned
Oct 30, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00993400 NJ Primary

Addresses

Primary practice location

300 W Route 38 Ste a
Moorestown, NJ 08057-3424

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197

Other practice location 1

570 Egg Harbor Rd Ste C4-A
Sewell, NJ 08080-2359
Phone (609) 267-9400

Other practice location 2

547 New Rd
Somers Point, NJ 08244-2038
Phone (609) 267-9400

Other practice location 3

994 W Sherman Ave
Vineland, NJ 08360-6937
Phone (609) 267-9400

Other practice location 4

131 Route 70 Ste 100A
Medford, NJ 08055-9501
Phone (609) 267-9400

Other practice location 5

243 US Highway 130 Ste 100
Bordentown, NJ 08505-2137
Phone (609) 267-9400

Other practice location 6

325 Route 70 E
Cherry Hill, NJ 08034-2408
Phone (609) 267-9400

Other practice location 7

200 Bowman Dr Ste E100
Voorhees, NJ 08043-9648
Phone (609) 267-9400

Electronic endpoints 8

TypeEndpointUseAffiliation
Direct Messaging Address bmoore320297@directvirtua.org
Direct Messaging Address bmoore320297@directvirtua.org
Direct Messaging Address bmoore320297@directvirtua.org
Direct Messaging Address bmoore320297@directvirtua.org
Direct Messaging Address bmoore320297@directvirtua.org
Direct Messaging Address bmoore320297@directvirtua.org
Direct Messaging Address bmoore320297@directvirtua.org
Direct Messaging Address bmoore320297@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260226004542 NJ Practitioner - Physician Assistant 9537640503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

131 Route 70
Suite 100
Medford, NJ 08055-9501
Phone (856) 673-3960

1600 Haddon Ave
Camden, NJ 08103-3101

175 Madison Ave
Mount Holly, NJ 08060-2038

200 Bowman Dr
Suite E365
Voorhees, NJ 08043-9639
Phone (856) 247-7295

305 Route 70 E
Cherry Hill, NJ 08034-2408

315 Route 70 E
Vitua Express Urgent Care Cherry Hill
Cherry Hill, NJ 08034-2408
Phone (856) 375-6240

3242 Route 206
Bordentown, NJ 08505-4517

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260

Hospital & facility affiliations

  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00993400NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Mar 16, 2026 Accepting new patients
Virtua Medical Group, PA Physician Assistant CurrentSince Mar 16, 2026 Accepting new patients
Virtua Medical Group, PA PastSince Nov 8, 2025 Accepting new patients
Reconstructive Orthopedics, PA Physician Assistant Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

243 US Highway 130
Ste 100
Bordentown, NJ 08505
Phone (609) 400-1630

325 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 528-5370

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

300 W Route 38
Ste A
Moorestown, NJ 08057
Phone (856) 673-3960

547 New Rd
Somers Point, NJ 08244
Phone (609) 653-4800

200 Bowman Dr
Ste E100
Voorhees, NJ 08043
Phone (856) 673-3960

Interoperability endpoints

  • Direct secure messaging: bmoore320297@directvirtua.org

Organizations & group practices 4

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": "1761782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1992674824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W ROUTE 38 STE A",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573424",
            "telephone_number": "609-267-9400",
            "fax_number": "856-234-3921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "570 Egg Harbor Rd Ste C4-A",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080802359",
            "country_code": "US",
            "telephone_number": "609-267-9400",
            "fax_number": "856-270-2786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "547 New Rd",
            "address_purpose": "LOCATION",
            "city": "Somers Point",
            "state": "NJ",
            "postal_code": "082442038",
            "country_code": "US",
            "telephone_number": "609-267-9400",
            "fax_number": "609-927-1616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "994 W Sherman Ave",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083606937",
            "country_code": "US",
            "telephone_number": "609-267-9400",
            "fax_number": "856-696-2214",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 Route 70 Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080559501",
            "country_code": "US",
            "telephone_number": "609-267-9400",
            "fax_number": "609-451-5518",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "243 US Highway 130 Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bordentown",
            "state": "NJ",
            "postal_code": "085052137",
            "country_code": "US",
            "telephone_number": "609-267-9400",
            "fax_number": "609-424-3517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Route 70 E",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080342408",
            "country_code": "US",
            "telephone_number": "609-267-9400",
            "fax_number": "856-488-5709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Bowman Dr Ste E100",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439648",
            "country_code": "US",
            "telephone_number": "609-267-9400",
            "fax_number": "856-809-2334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRADY",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-30",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00993400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmoore320297@directvirtua.org",
            "affiliation": "N",
            "address_1": "243 US Highway 130 Ste 100",
            "city": "Bordentown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085052137",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmoore320297@directvirtua.org",
            "affiliation": "N",
            "address_1": "300 W Route 38 Ste A",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573424",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmoore320297@directvirtua.org",
            "affiliation": "N",
            "address_1": "994 W Sherman Ave",
            "city": "Vineland",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "083606937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmoore320297@directvirtua.org",
            "affiliation": "N",
            "address_1": "325 Route 70 E",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080342408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmoore320297@directvirtua.org",
            "affiliation": "N",
            "address_1": "547 New Rd",
            "city": "Somers Point",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "082442038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmoore320297@directvirtua.org",
            "affiliation": "N",
            "address_1": "200 Bowman Dr Ste E100",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439648",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmoore320297@directvirtua.org",
            "affiliation": "N",
            "address_1": "131 Route 70 Ste 100A",
            "city": "Medford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080559501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmoore320297@directvirtua.org",
            "affiliation": "N",
            "address_1": "570 Egg Harbor Rd Ste C4-A",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080802359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.