BROOKE MARIE MOORE MD MPH NPI 1568662195

NPI Information

  • NPI: 1568662195
  • Provider Name: BROOKE MARIE MOORE, MD, MPH
  • Classification: Pediatrics - 2080P0214X
  • Specialization: Pediatric Pulmonology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2530 CHICAGO AVE
    SUITE 400
    MINNEAPOLIS, MN
    ZIP 55404
  • Phone: (612) 813-3300

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NPI Details

Brooke Marie Moore, MD, MPH is a pediatric pulmonology pediatrics in Minneapolis, MN. The provider is a pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques. Brooke Marie Moore, MD, MPH NPI is 1568662195. 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:

2530 CHICAGO AVE
SUITE 400
MINNEAPOLIS, MN
ZIP 55404-289
Phone: (612) 813-3300
Fax: (612) 813-3349

The NPI 1568662195 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 7/22/2007 and was last updated on 10/19/2011.

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
1208000000XPediatrics18799MINNESOTANo
22080P0214XPediatricsPediatric Pulmonology49815MINNESOTAYes

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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