BRENDAN MICHAEL MOORE (NPI# 1043597768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043597768 |
| Entity Type | Individual |
| Full Name | BRENDAN MICHAEL MOORE |
| Practice Address |
2d Marine Special Operations Battalion Pcs Box 20183 Camp Lejeune NC 28542-0183 |
| Practice Telephone | 9104407704 |
| Mailing Telephone | 9104407704 |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1710I1002X |
Military Health Care Provider Specialization: Independent Duty Corpsman |
39352435 | NC | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104387281 | Brendan Moore | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 584, Little Rock, AR 72205-7101 | 2019-03-29 |
| 1407211345 | Brendan Moore | Counselor | 234 Waianuenue Ave Ste 215, Hilo, HI 96720-2418 | 2015-12-18 |
| Street Address |
2D MARINE SPECIAL OPERATIONS BATTALION PCS BOX 20183 |
| City | CAMP LEJEUNE |
| State | NC |
| Zip Code | 28542-0183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841423886 | Rubens Henrique Dacosta | Military Health Care Provider | 2d Marine Special Operations Battalion, Psc, Camp Lejeune, NC 28542-0183 | 2009-08-25 |
| 1699058438 | William Joshua Hazelwood | Military Health Care Provider | 2d Marine Special Operations Battalion, Psc Box 20116, Camp Lejeune, NC 28542 | 2011-09-27 |
| 1518198035 | Ward Evan Taft | Military Health Care Provider | 2d Marine Special Operations Battalion, Psc20183, Camp Lejeune, NC 28540-0183 | 2009-07-31 |
| 1780838524 | Anthony Shattuck | Military Health Care Provider | 2d Marine Special Operations Battalion, Psc 20183, Camp Lejeune, NC 28542 | 2008-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730794439 | Lauren Marie Barton | Dentist | H M Smith Blvd, Bldg Fc-308, Camp Lejeune, NC 28542 | 2020-09-10 |
| 1003444928 | Andres Martin Rodoni | Military Health Care Provider | 2nd Reconnaissance Battalion, Camp Lejune, NC 28542 | 2020-03-27 |
| 1699306670 | Dominick Ciampo | Military Health Care Provider | A66 Boat Basin Road, Camp Lejeune, NC 28542 | 2020-01-29 |
| 1881243525 | Alexander Thomas Rodgers | Military Health Care Provider | 2nd Raider Battalion, A66 Boat Basin Rd, Camp Lejeune, NC 28542 | 2019-09-05 |
| 1992352454 | Kirsten Janel Snow | Physician Assistant | Hm Smith Boulevard, Bldg Fc-308, Camp Lejeune, NC 28542 | 2019-08-20 |
| 1639735947 | Cody Robert Patton | Military Health Care Provider | 3rd Marine Raider Battalion, Bldg 614, Camp Lejeune, Nc, NC 28542 | 2019-05-13 |
| 1558832345 | Nathaniel Franklin Campbell | Military Health Care Provider | Rr 612 Everett Creek Rd, Camp Lejuene, Fpo, AE 28542 | 2018-12-06 |
| 1578032504 | Brendon Earl Dumas | Military Health Care Provider | Rr612 Everett Creek Road, Camp Lejeune, NC 28542 | 2018-11-20 |
| 1053896514 | Roy Atallah | Military Health Care Provider | 2nd Marine Raider Battalion, Camp Lejeune, NC 28542 | 2018-10-01 |
| 1316422975 | Zachary Thomas Monahan | General Practice | Hm Smith Boulevard Bldg Fc-308, Camp Lejeune, NC 28542 | 2018-09-30 |
| Find all providers in zip 28542 | ||||
| Taxonomy Code | 1710I1002X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Specialization | Independent Duty Corpsman |
| A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals. |
| Notes: Source: Bureau of Medicine and Surgery, Department of the Navy [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820002 | Levi Para | Military Health Care Provider | 2d Reconnaissance Bn, Psc 20138, Camp Lejeune, NC 28452-0138 | 2020-10-29 |
| 1699306670 | Dominick Ciampo | Military Health Care Provider | A66 Boat Basin Road, Camp Lejeune, NC 28542 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1881243525 | Alexander Thomas Rodgers | Military Health Care Provider | 2nd Raider Battalion, A66 Boat Basin Rd, Camp Lejeune, NC 28542 | 2019-09-05 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1578032504 | Brendon Earl Dumas | Military Health Care Provider | Rr612 Everett Creek Road, Camp Lejeune, NC 28542 | 2018-11-20 |
| 1053896514 | Roy Atallah | Military Health Care Provider | 2nd Marine Raider Battalion, Camp Lejeune, NC 28542 | 2018-10-01 |
| 1760967509 | Sergeous Evgeney Anikin-dick | Military Health Care Provider | 2d Marine Raider Battalion Psc 20183, Camp Lejeune, NC 28542 | 2018-09-27 |
| 1295212199 | Ryan Loseke | Military Health Care Provider | 3d Mrb, Camp Lejeune, NC 28460 | 2018-07-24 |
| Find all providers in CAMP LEJEUNE | ||||
| City | CAMP LEJEUNE |
| Zip Code | 28542 |
Please comment or provide details below to improve the information on BRENDAN MICHAEL MOORE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.