DR. LEE DAVID MOORE (NPI# 1861648248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861648248 |
| Entity Type | Individual |
| Full Name | DR. LEE DAVID MOORE |
| Credential | M.D. |
| Practice Address |
2900 E 29th St Suite 300 Bryan TX 77802-2622 |
| Practice Telephone | 9797765602 |
| Mailing Telephone | 9797765602 |
| Enumeration Date | 2008-08-17 |
| Last Update Date | 2013-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | N6504 | TX | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326432287 | Lee Goddard Moore | Registered Nurse | 1310 Bertha Ave Nw, Bremerton, WA 98312-2607 | 2015-03-27 |
| 1942563051 | Lee Ann Moore | Pharmacist | 815 S College Rd, Wilmington, NC 28403-4409 | 2012-06-22 |
| 1306920913 | Lee Richard Moore Jr. | Optometrist | 311 Prospect Ave, Charles Town, WV 25414-1137 | 2006-10-24 |
| 1255320842 | Lee J Moore | Dentist | 2407 W 104th St, Chicago, IL 60655-1006 | 2005-10-17 |
| 1093709842 | Lee Eugene Moore | Dentist | 106 S Cummings Ln, Washington, IL 61571-3442 | 2005-09-08 |
| 1407398308 | Lee Moore | Pharmacist | 5555 W Thunderbird Rd, Glendale, AZ 85306-4622 | 2016-11-08 |
| 1699156950 | Lee Ellis Moore | Internal Medicine | 501 Baptist Dr Ste 220, Madison, MS 39110-2031 | 2015-06-12 |
| 1962728600 | Lee Katherine Moore | Emergency Medicine | 9330 Medical Plaza Dr, Charleston, SC 29406-9104 | 2010-04-19 |
| 1508859166 | Lee S Moore | Urology | 320 N Oak Ave, Cookeville, TN 38501-2440 | 2005-08-29 |
| Street Address |
2900 E 29TH ST SUITE 300 |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225088321 | David M Dranetz | Psychiatry & Neurology | 2900 E 29th St, Suite 101, Bryan, TX 77802-2622 | 2006-05-11 |
| 1992331888 | Serene Selli | Student in an Organized Health Care Education/Training Program | 2900 E 29th St, Bryan, TX 77802-2622 | 2020-03-23 |
| 1659907541 | Courtney Welch | Student in an Organized Health Care Education/Training Program | 2900 E 29th St, Bryan, TX 77802-2622 | 2020-03-23 |
| 1538620588 | Philip Anthony Borroni | Student in an Organized Health Care Education/Training Program | 2900 E 29th St, Bryan, TX 77802-2622 | 2019-03-30 |
| 1407316532 | Spencer S Hoffman | Student in an Organized Health Care Education/Training Program | 2900 E 29th St, Bryan, TX 77802-2622 | 2019-03-24 |
| 1548729494 | Ross Klocke | Student in an Organized Health Care Education/Training Program | 2900 E 29th St, Bryan, TX 77802-2622 | 2019-03-19 |
| 1710446661 | Catherine Anne Jimenez | Student in an Organized Health Care Education/Training Program | 2900 E 29th St, Bryan, TX 77802-2622 | 2019-03-19 |
| 1801355706 | Emily Elizabeth Nelson | Student in an Organized Health Care Education/Training Program | 2900 E 29th St, Bryan, TX 77802-2622 | 2019-03-19 |
| 1790282218 | Madison Wells Duckworth | Student in an Organized Health Care Education/Training Program | 2900 E 29th St, Bryan, TX 77802-2622 | 2018-04-11 |
| 1639674088 | Garett West | Family Medicine | 2900 E 29th St, Bryan, TX 77802-2622 | 2018-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871077958 | Virginia Smith Md Pllc | Obstetrics & Gynecology | 3201 University Dr E Ste 370, Bryan, TX 77802-3485 | 2018-09-24 |
| 1689789158 | Cynthia Jansky | Obstetrics & Gynecology | 2900 E 29th St Ste 300, Bryan, TX 77802-2603 | 2006-08-21 |
| 1922055011 | Benson Ob/gyn Center, P.a. | Obstetrics & Gynecology | 3740 Copperfield Dr, Suite 105, Bryan, TX 77802-5932 | 2006-05-27 |
| 1689630667 | Sudhir D Patel | Obstetrics & Gynecology | 1201b Briarcrest Dr, Bryan, TX 77802-5223 | 2006-04-26 |
| 1669472791 | Sharon A. Ransom | Obstetrics & Gynecology | 442 W High St, Bryan, OH 43506-1681 | 2005-07-29 |
| 1346603685 | Bryan Medical Associates Medical Association | Obstetrics & Gynecology | 4112 E 29th St, Bryan, TX 77802-4302 | 2016-04-04 |
| 1720468648 | Brazos Valley Obstetric Hospitalist, Pa | Obstetrics & Gynecology | 2801 Franciscan Dr, Bryan, TX 77802-2544 | 2015-06-05 |
| 1003206285 | L Justin Gayle Md Pllc | Obstetrics & Gynecology | 3201 University Dr E, Ste 370, Bryan, TX 77802-3475 | 2015-01-27 |
| 1396189718 | Hanan Ghossein Bazzi | Obstetrics & Gynecology | 433 W High St, Bryan, OH 43506-1690 | 2013-04-29 |
| 1982950424 | Janelle Myers Perrone | Obstetrics & Gynecology | 2900 E 29th St, Suite 300, Bryan, TX 77802-2622 | 2012-08-02 |
| Find all providers in BRYAN | ||||
Please comment or provide details below to improve the information on DR. LEE DAVID 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.