DR. BRADLEY BANCROFT MOORE M.D. NPI 1699744847

NPI Information

NPI: 1699744847
Provider Name: DR. BRADLEY BANCROFT MOORE, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Organization: UNIFIED WOMEN'S CARE OF GEORGIA LLC

PECOS Registration: Yes

Address:
9 DUNWOODY PARK
SUITE 108
ATLANTA, GA
ZIP 30338
Phone: (770) 393-1988
Get Directions

DR. Bradley Bancroft Moore, M.D. is an obstetrics gynecology in Atlanta, GA with 22 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Bradley Bancroft Moore, M.D. NPI is 1699744847. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9 DUNWOODY PARK
SUITE 108
ATLANTA, GA
ZIP 30338-407
Phone: (770) 393-1988
Fax: (770) 399-9638

The NPI 1699744847 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), Power Mobility Devices.

The enumeration date for this NPI number is 3/17/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		051691	GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	051691	OTHER	GEORGIA	STATE MEDICAL LICENSE
2	BM 7955252	OTHER	GEORGIA	DEA NUMBER
3	G 63044	MEDICARE UPIN

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

NPI Synchronization or Removal

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