BEVERLY DAWN MOOSE MD NPI 1487747648

NPI Information

  • NPI: 1487747648
  • Provider Name: BEVERLY DAWN MOOSE, MD
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3333 SILAS CREEK PKWY
    WINSTON SALEM, NC
    ZIP 27103
  • Phone: (336) 718-5095

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NPI Details

Beverly Dawn Moose, MD is a radiation oncology radiology in Winston Salem, NC. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. Beverly Dawn Moose, MD NPI is 1487747648. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3333 SILAS CREEK PKWY
WINSTON SALEM, NC
ZIP 27103-013
Phone: (336) 718-5095
Fax: (336) 718-9895

The NPI 1487747648 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

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.

  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Radiation treatment management, 5 treatment sessions (HCPCS:77427)
  • Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg,3d positional tracking, gating, 3d surface tracking), each fraction of treatment (HCPCS:G6017)

The enumeration date for this NPI number is 10/2/2006 and was last updated on 12/11/2012.

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
12085R0001XRadiologyRadiation Oncology96-00124NORTH CAROLINAYes

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
12408394OTHERUNITED HEALTH CARE
260531OTHERNORTH CAROLINABLUE CROSS/BLUE SHIELD
313799OTHERPARTNERS NATIONAL HEALTH
46760232005OTHERCIGNA HEALTH CARE
58960531MEDICAIDNORTH CAROLINA
6920005728MEDICARE ID-TYPE UNSPECIFIEDRAILROAD
797953OTHERMEDCOST
8F81327MEDICARE UPIN
95860531MEDICAIDVIRGINIA
102222211AMEDICARE ID-TYPE UNSPECIFIED

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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