MR. BRADLEY T MOORE (DO) – Family Medicine Physician, NPI 1629062807

MR. BRADLEY T MOORE (DO) is a healthcare provider. based in Hazard, Kentucky. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 02916 (KY). The NPI Number for MR. BRADLEY T MOORE (DO) is 1629062807

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRADLEY T MOORE (DO)
NPI
1629062807
Phone
(606) 377-3427
Address
100 AIRPORT GARDENS RD
Enumeration Date
2 September 2005
Last Update Date
13 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6063584211
Graduation Year
2005 (21 years ago)
PAC ID
4486690179
Group Practice PAC ID
0840107835
Professional Enrollment ID
I20050705000189
Address ID
KY416660000WA2662XHWYX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,717 FAMILY PRACTICE in KY

Provider Addresses for MR. BRADLEY T MOORE (DO)

  • 100 AIRPORT GARDENS RD

    HAZARD, KY 417019529

    Phone: (606) 377-3427

    Type: Location

  • 62 KY RTE 306

    BYPRO, KY 41612

    Phone: (606) 452-1700

    Fax: (606) 452-1703

    Type: Location

  • Prestonsburg, Floyd County, Kentucky, United States

    STE 3

    PRESTONSBURG, KY 416539101

    Phone: (606) 886-8546

    Fax: (606) 886-8548

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $258.

Total Amount is formed as General ($258) + Research ($0) + Ownership ($0) = $258.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($59).

Total Amount

$258

General + Research + Ownership

Payments

15

Total payment records

General Amount

$258

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-07-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050705000189IFamily PracticeKYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8632$0
99213Established patient office or other outpatient visit, 20-29 minutes7138$0
99214Established patient office or other outpatient visit, 30-39 minutes5034$0
99239Hospital discharge day management, more than 30 minutes3631$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2926$0
View full utilization report →

Insurance plans in this area (ZIP 41701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840107835View full group profile
NameSpecialtyState
-WV
General SurgeryMN
Physician AssistantWV
-KY
Diagnostic RadiologyWV
Interventional CardiologyMD
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyOH
Endocrinology, Internal MedicineNY
Orthopedic SurgeryMS
Nurse PractitionerKY

Reviews

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Frequently asked questions

Can I verify MR. BRADLEY T MOORE (DO) with an NPI only?
You can start verification with NPI 1629062807 for MR. BRADLEY T MOORE (DO), then check state licensing separately.
Does the file indicate MR. BRADLEY T MOORE (DO) is practicing under active NPI?
Directory data currently reports MR. BRADLEY T MOORE (DO) as active.
What is MR. BRADLEY T MOORE (DO)'s specialty?
The listing groups MR. BRADLEY T MOORE (DO) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect MR. BRADLEY T MOORE (DO) on a map?
Expect Hazard, Kentucky as a primary anchor for MR. BRADLEY T MOORE (DO) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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