DR. TOMMY EARL MOORE MD NPI 1881648624

NPI Information

NPI: 1881648624
Provider Name: DR. TOMMY EARL MOORE, MD
Classification: Radiology - 2085N0700X
Specialization: Neuroradiology
Entity Type: Individual
Address: 816 W CANNON ST
FORT WORTH, TX
ZIP 76104
Phone: (817) 321-0312

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NPI Details

DR. Tommy Earl Moore, MD is a neuroradiology radiology in Fort Worth, TX. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. DR. Tommy Earl Moore, MD NPI is 1881648624. 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:

816 W CANNON ST
FORT WORTH, TX
ZIP 76104-146
Phone: (817) 321-0312
Fax: (817) 317-7033

The enumeration date for this NPI number is 5/19/2006 and was last updated on 2/17/2012.

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
1	2085B0100X	Radiology	Body Imaging	F4304	TEXAS	No
2	2085N0904X	Radiology	Nuclear Radiology	F4304	TEXAS	No
3	2085P0229X	Radiology	Pediatric Radiology	F4304	TEXAS	No
4	2085R0202X	Radiology	Diagnostic Radiology	F4304	TEXAS	No
5	2085R0204X	Radiology	Vascular & Interventional Radiology	F4304	TEXAS	No
6	2085U0001X	Radiology	Diagnostic Ultrasound	F4304	TEXAS	No
7	2085N0700X	Radiology	Neuroradiology	F4304	TEXAS	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
1	83R719	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
2	132698505	MEDICAID	TEXAS
3	B79847	MEDICARE UPIN	TEXAS

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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