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DR. BRAD JEROME MORIARTY O.D. NPI 1023092988


NPI Information

NPI: 1023092988
Provider Name: DR. BRAD JEROME MORIARTY, O.D.
Classification: Optometrist - 152WC0802X
Entity Type: Individual

Specialization: Corneal and Contact Management

PECOS Registration: Yes

Address:
1601 MOUNT RUSHMORE RD
SUITE 5
RAPID CITY, SD
ZIP 57701
Phone: (605) 343-4164
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DR. Brad Jerome Moriarty, O.D. is a corneal and contact management optometrist in Rapid City, SD with 34 years of experience. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. DR. Brad Jerome Moriarty, O.D. NPI is 1023092988. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year:1990

The provider's business location address is:

1601 MOUNT RUSHMORE RD
SUITE 5
RAPID CITY, SD
ZIP 57701-588
Phone: (605) 343-4164
Fax: (605) 348-9773

The NPI 1023092988 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

The enumeration date for this NPI number is 12/5/2005 and was last updated on 9/27/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152WC0802XOptometristCorneal and Contact ManagementT488SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U21623MEDICARE UPINSOUTH DAKOTA
2181MEDICARE ID-TYPE UNSPECIFIEDSOUTH DAKOTA
39202310MEDICAIDSOUTH DAKOTA
4S181MEDICARE PINSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.