Individual provider Active NPI

Brian Thomas Moore, M.D.

  • Surgery Physician
  • Concord, NC
National Provider Identifier
1992772800
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
33718 Issued in NC
Practice address
200 Medical Park Dr
Concord, NC 28025-2982
Phone
(704) 786-1108
NPI assigned
Mar 1, 2006
Last updated
Jan 7, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 33718 NC Primary

Addresses

Primary practice location

200 Medical Park Dr
Concord, NC 28025-2982

Mailing address

200 Medical Park Dr Ste 400
Concord, NC 28025-0906
Phone (704) 786-1108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100730000872 NC Practitioner - General Surgery 4486616463 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Louisiana State University School of Medicine in Shreveport, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Wound Specialists of North Carolina, PLLCGroup PAC ID 7810172616, 17 clinicians

Practice addresses (Care Compare)

35 Memorial Dr
Pinehurst, NC 28374-8708
Phone (910) 715-5901

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue729
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Skilled Facility Health Care Solutions Inc Surgery CurrentSince Mar 23, 2024 Accepting new patients
Skilled Biologics, Inc. Surgery CurrentSince Aug 19, 2024 Accepting new patients
Integrated Wound Specialists of North Carolina, PLLC Surgery CurrentSince Apr 10, 2025 Accepting new patients

Locations

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

514 Providence Rd
Charlotte, NC 28207

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

6322 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-6700

2626 Glenwood Ave
Ste 550
Raleigh, NC 27608
Phone (203) 518-2124

925 S Long Dr
Rockingham, NC 28379
Phone (910) 417-3000

Interoperability endpoints

  • Direct secure messaging: bmoore126282@firsthealth.direct-ci.net

Organizations & group practices 3

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 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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1992772800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PARK DR STE 400",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280250906",
            "telephone_number": "704-786-1108",
            "fax_number": "704-782-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL PARK DR",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252982",
            "telephone_number": "704-786-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "33718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.