Brian R Moore
Pediatrician Pediatric Emergency Physician
1 University Of New Mexico Msc11 6025
Albuquerque
, New Mexico 87131-0001
Brian R Moore
Pediatrician Pediatric Emergency Physician
1 University Of New Mexico Msc11 6025
Albuquerque
, New Mexico 87131-0001
(505) 272-8060
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About
Features
Specialties
- Pediatric Emergency Physician
- Pediatrician
Languages spoken
- English
Location
First Address
- Brian R Moore
- 933 Bradbury Dr Se Ste. 2222
- Albuquerque, NM
- Zip : 87106-4374
- Fax : (505) 272-8060
- Phone : (505) 272-3120
Second Address
- Brian R Moore
- 1 University Of New Mexico Msc11 6025
- Albuquerque, NM
- Zip : 87131-0001
- Fax : (505) 272-6503
- Phone : (505) 272-5062
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PP0204X | Pediatric Emergency Physician | MD2006-0593 | NM |
| N | 208000000X | Pediatrician | 45069 | MN |
National Provider Identifier
| NPI | 1457325326 |
|---|---|
| Provider Name | Brian R Moore |
| First Address | Albuquerque, NM 87106-4374 |
| Second Address | Albuquerque, NM 87131-0001 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/02/2006 |
| Last Update Date | 21/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 092246300 | (05) | MN |
| H20664 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.