Brian Thomas Moore, M.D.
Individual provider Active NPI Surgery Physician · Concord, NC
NPI 1992772800 · NPPES record last updated Jan 7, 2013
Key facts
- NPI
- 1992772800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 33718 (NC)
- Practice address
- 200 Medical Park Dr
Concord, NC 28025-2982 - Phone
- (704) 786-1108
- NPI assigned
- Mar 1, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 6
Medicare Care Compare profile
- 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, PLLC
Practice addresses (Care Compare)
35 Memorial Dr
Pinehurst, NC 28374-8708
Phone (910) 715-5901
Hospital & facility affiliations
- First Health Home Care - Richmond
- Firsthealth Moore Regional Hospital
- Memorial Mission Hospital and Asheville Surgery Ce
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 729 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100730000872 | NC | Practitioner - General Surgery | 4486616463 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33718 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skilled Facility Health Care Solutions Inc | Surgery | Current |
Accepting new patients |
| Integrated Wound Specialists of North Carolina, PLLC | Surgery | Current |
Accepting new patients |
| Skilled Biologics, Inc. | Surgery | Current |
Accepting new patients |
Locations
3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387
514 Providence Rd
Charlotte, NC 28207
35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
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
- bmoore126282@firsthealth.direct-ci.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 33718 | NC | Yes |
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
Other providers in Concord, NC
- Hannah Moody
- Gloria Dianne Moon
- James Moon
- Alliyah Moore
- Autumn Moore
- Cathy Moore
- Christa Jane Moore
- Christina Lynn Moore
- Gabrielle Beauvais Moore
- Jameel Moore
All providers in Concord, NC · Surgery Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.