Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRADLEY T MOORE, DO
ActiveMR. BRADLEY T MOORE, DO is a Family Medicine healthcare provider located in BYPRO, Kentucky. NPI 1629062807 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BYPRO, KY
Registration Details
- NPI Number
- 1629062807
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 2, 2005 (20.948760592926 yrs)
- Last Updated
- Aug 13, 2024
- License
-
02916 (KY)
Practice Information
- Address
-
62 KY RTE 306BYPRO, KY, 41612Browse KY providers · Browse ZIP 41612
- Phone
- 6064521700
- Fax
- 6064521703
- Primary Specialty
-
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.