MR. BRAD PRESTON MOORE – Anesthesiology Physician, NPI 1093057721

MR. BRAD PRESTON MOORE is a healthcare provider. based in Seattle, Washington. specializing in ANESTHESIOLOGY. They hold a License No. 23200 (ND). The NPI Number for MR. BRAD PRESTON MOORE is 1093057721

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRAD PRESTON MOORE
NPI
1093057721
Phone
(206) 543-6806
Address
850 REPUBLICAN ST
Enumeration Date
20 March 2013
Last Update Date
23 February 2026

Doctor Profile

Medical School Name
NEW YORK MEDICAL COLLEGE
Secondary Phone
7013238300
Graduation Year
2013 (13 years ago)
PAC ID
1951690106
Group Practice PAC ID
9739098575
Professional Enrollment ID
I20260310001358
Address ID
ND585031614BI3318XSTXX400

Contacts

Secure Messaging
bmoore367378@direct.med.utah.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness95
Years active:13State licenses:2Other names

1,514 ANESTHESIOLOGY in WA

Provider Addresses for MR. BRAD PRESTON MOORE

  • 850 REPUBLICAN ST

    BLDG C-4. BOX 358047. GRADUATE MEDICAL EDUCATION

    SEATTLE, WA 981094725

    Phone: (206) 543-6806

    Type: Location

  • PO BOX 50095

    SEATTLE, WA 981455095

    Phone: (206) 520-5700

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $44.

Total Amount is formed as General ($44) + Research ($0) + Ownership ($0) = $44.

Last reported payment date: 2023-12-13 • Largest payer in this snapshot: Exeltis, USA Inc. ($44).

Total Amount

$44

General + Research + Ownership

Payments

2

Total payment records

General Amount

$44

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Exeltis, USA Inc.$44
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: 2026-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20190718002452IAnesthesiologyUTTBD
I20230426001073IAnesthesiologyWATBD
I20260310001358IAnesthesiologyNDTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98109)

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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: 9739098575View full group profile
NameSpecialtyState
-ND
Diagnostic Radiology, Interventional RadiologyDE
Clinical PsychologistMN
-ND
Nurse PractitionerSD
Family PracticeND
-ND
Internal Medicine, Hospitalist, Internal MedicineSD
Orthopedic SurgeryMO
Family PracticeND

Reviews

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Frequently asked questions

Does MR. BRAD PRESTON MOORE share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MR. BRAD PRESTON MOORE uses 1093057721.
Does the file indicate MR. BRAD PRESTON MOORE is practicing under active NPI?
Directory data currently reports MR. BRAD PRESTON MOORE as active.
What healthcare role does MR. BRAD PRESTON MOORE hold?
Scheduling teams often label MR. BRAD PRESTON MOORE under Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MR. BRAD PRESTON MOORE?
MR. BRAD PRESTON MOORE's geographic hint is Seattle, Washington in our summary view.
Is the information about MR. BRAD PRESTON MOORE up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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