Brenda Kay Moore (NPI# 1275824120, PAC ID# 3678895232) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1275824120 |
| PAC ID by PECOS | 3678895232 |
| Professional Enrollment ID | I20141210000979 |
| Full Name | Brenda Kay Moore |
| Address |
1003 College W Blvd Suite 2 Niceville FL 32578-1069 |
| Gender | F |
| Medical School | WESTERN UNIV OF HEALTH SCIENCES COL OF DENTAL MED, POMONA CA |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100054 | TWIN CITIES HOSPITAL |
| 100292 | SACRED HEART HOSPITAL ON THE EMERALD COAST |
| 100122 | NORTH OKALOOSA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1003 College W Blvd, Suite 2, Niceville, FL 32578-1069 |
| Street Address |
1003 COLLEGE W BLVD SUITE 2 |
| City | NICEVILLE |
| State | FL |
| Zip | 32578-1069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica Panwar Barnes | Internal Medicine | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Kapil Puri | Urology | 490 Hwy 85 N A, Niceville, FL 32578-1045 | |
| Joe E Rogers Jr. | Nurse Practitioner | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Michelle A Magboo | Nurse Practitioner | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Zachary W Wilson | Emergency Medicine | Flagstone Peak Emergency Physicians LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Jeffrey S Burbidge | Anesthesiology | Twin Cities Anesthesia Associates Pl | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Leslie J Bridges | Nurse Practitioner | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Ekta I Kade | Nurse Practitioner | Flat Top Inpatient Services LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Katrina L. Tringas | Anesthesiology | Twin Cities Anesthesia Associates Pl | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| William S Carlson | Emergency Medicine | Flagstone Peak Emergency Physicians LLC | 2190 Hwy 85 N, Niceville, FL 32578-1045 |
| Find all physicians in zip 32578 | |||
| City | NICEVILLE |
| Zip Code | 32578 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | NICEVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Brenda Kay Moore.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.