BRIAN R MOORE (M.D.) – Pediatric Emergency Medicine (Emergency Medicine) Physician, NPI 1457325326
Pediatric Emergency Medicine (Emergency Medicine) Physician
Main info
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BRIAN R MOORE (M.D.)
PO BOX 844658
DALLAS, TX 752844658
Phone: (254) 724-2111
Type: Mailing
1901 SW H K DODGEN LOOP
TEMPLE, TX 765021814
Phone: (254) 724-5437
Type: Location
933, Bradbury Drive Southeast, Albuquerque, Bernalillo County, New Mexico, 87106, United States
STE. 2222
ALBUQUERQUE, NM 871064374
Phone: (505) 272-3120
Fax: (505) 272-8060
Type: Mailing
University of New Mexico, University Boulevard Northeast, Martinez Town, Albuquerque, Bernalillo County, New Mexico, 87131, United States
MSC11 6025
ALBUQUERQUE, NM 871310001
Phone: (505) 272-5062
Fax: (505) 272-6503
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-07-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081002000328 | I | Emergency Medicine | NM | TBD |
| I20220718001777 | I | Emergency Medicine | TX | TBD |
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.
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 75284)
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