BRIAN E. MOORE MD NPI 1265524730

NPI Information

  • NPI: 1265524730
  • Provider Name: BRIAN E. MOORE, MD
  • Classification: Pathology - 207ZN0500X
  • Specialization: Neuropathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 670 ALBANY ST STE 304
    BOSTON, MA
    ZIP 02118
  • Phone: (617) 414-4291

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NPI Details

Brian E. Moore, MD is a neuropathology pathology in Boston, MA with 27 years of experience. The provider is a neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature. Brian E. Moore, MD NPI is 1265524730. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduation Year:1999

The provider's business location address is:

670 ALBANY ST STE 304
BOSTON, MA
ZIP 02118-646
Phone: (617) 414-4291
Fax: (617) 414-5315

The NPI 1265524730 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 9/29/2006 and was last updated on 6/21/2023.

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
1207ZP0101XPathologyAnatomic Pathology284981MASSACHUSETTSNo
2207ZP0102XPathologyAnatomic Pathology & Clinical PathologyDR.0055623COLORADONo
3207ZP0102XPathologyAnatomic Pathology & Clinical Pathology036115598ILLINOISNo
4207ZN0500XPathologyNeuropathology284981MASSACHUSETTSYes

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
1110165424AMEDICAIDMASSACHUSETTS

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: 11/21/2025

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