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BRYAN SCOTT MOON MD NPI 1821060336


NPI Information

NPI: 1821060336
Provider Name: BRYAN SCOTT MOON, MD
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
200 PATEWOOD DR
SUITE C100
GREENVILLE, SC
ZIP 29615
Phone: (864) 454-4260
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Bryan Scott Moon, MD is an orthopaedic surgery in Greenville, SC with 29 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. Bryan Scott Moon, MD NPI is 1821060336. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduation Year:1995

The provider's business location address is:

200 PATEWOOD DR
SUITE C100
GREENVILLE, SC
ZIP 29615-593
Phone: (864) 454-4260
Fax: (864) 676-0898

The NPI 1821060336 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 2/7/2006 and was last updated on 5/3/2008.


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
1207X00000XOrthopaedic Surgery23261SOUTH 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H60203MEDICARE UPIN
2G602036904MEDICARE PINSOUTH CAROLINA
3T73603MEDICAIDSOUTH CAROLINA
4200044388OTHERSOUTH CAROLINARR MEDICARE
5576007863201OTHERSOUTH CAROLINABCBS OF SC

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: 4/28/2024

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.