Bradley J Moore (NPI# 1295963783, PAC ID# 5395970529) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
Nation Provider ID (NPI) | 1295963783 |
PAC ID by PECOS | 5395970529 |
Professional Enrollment ID | I20140529001634 |
Full Name | Bradley J Moore |
Organization Legal Name | PHOENIX UROLOGY OF ST JOSEPH INC |
Address |
901 Heartland Rd Suite 1800 Saint Joseph MO 64506-6202 |
Phone Number | 8162328877 |
Gender | M |
Medical School | UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE |
Graduation Year | 2009 |
Primary Specialty | UROLOGY |
Group Practice PAC ID | 0840224291 |
Number of Group Practice Members | 4 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260006 | MOSAIC LIFE CARE AT ST JOSEPH |
261332 | CARROLL COUNTY MEMORIAL HOSPITAL |
171341 | HIAWATHA COMMUNITY HOSPITAL |
261328 | NORTHWEST MEDICAL CENTER |
260050 | SSM HEALTH ST. FRANCIS HOSPITAL- MARYVILLE |
Address | Phone | Organization |
---|---|---|
800 Ravenhill Dr, Atchison, KS 66002-9204 | 9133676675 | PHOENIX UROLOGY OF ST JOSEPH INC |
1502 N Jefferson St, Carrollton, MO 64633-1948 | 6605421695 | CARROLL COUNTY MEMORIAL HOSPITAL |
901 Heartland Rd, Suite 1800, Saint Joseph, MO 64506-6202 | 8162328877 | PHOENIX UROLOGY OF ST JOSEPH INC |
Organization Legal Name | PHOENIX UROLOGY OF ST JOSEPH INC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Mike Kozminski | Urology | Phoenix Urology of St Joseph Inc | 901 Heartland Rd, Suite 1800, Saint Joseph, MO 64506-6202 |
Michael E Aberger | Urology | Phoenix Urology of St Joseph Inc | 901 Heartland Rd, Suite 1800, Saint Joseph, MO 64506-6202 |
Mark F Lierz | Urology | Phoenix Urology of St Joseph Inc | 800 Ravenhill Dr, Atchison, KS 66002-9204 |
Street Address |
901 HEARTLAND RD SUITE 1800 |
City | SAINT JOSEPH |
State | MO |
Zip | 64506-6202 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kelly D Mcfee | Nurse Practitioner | Heartland Regional Medical Center | 901 Heartland Rd, Suite 1810, Saint Joseph, MO 64506-6201 |
John L Cook | Internal Medicine | Heartland Regional Medical Center | 901 Heartland Rd, Suite 3800, Saint Joseph, MO 64506-6201 |
Mike Kozminski | Urology | Phoenix Urology of St Joseph Inc | 901 Heartland Rd, Suite 1800, Saint Joseph, MO 64506-6202 |
David James Schoeberl | Chiropractic | Heartland Regional Medical Center | 901 Heartland Rd, Saint Joseph, MO 64506-6201 |
Louis Jamtgaard | Emergency Medicine | Heartland Regional Medical Center | 901 Heartland Rd, Saint Joseph, MO 64506-6201 |
Jeffrey Edward Sherwood | Infectious Disease | Heartland Regional Medical Center | 901 Heartland Rd, Suite 4840, Saint Joseph, MO 64506-6202 |
Michael E Aberger | Urology | Phoenix Urology of St Joseph Inc | 901 Heartland Rd, Suite 1800, Saint Joseph, MO 64506-6202 |
Bridget R Robinson | Certified Nurse Midwife (cnm) | Heartland Regional Medical Center | 901 Heartland Rd, Saint Joseph, MO 64506-6201 |
Caroline Flanagan | Clinical Social Worker | Heartland Regional Medical Center | 901 Heartland Rd, Suite 3800, Saint Joseph, MO 64506-6201 |
Lynn L Summers-beauchamp | Obstetrics/gynecology | Heartland Regional Medical Center | 901 Heartland Rd, Suite 2800, Saint Joseph, MO 64506-6201 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Benjamin S Reine | Family Medicine | Heartland Regional Medical Center | 5210 N Belt Hwy Entrance C, Mosaic Life Care, St Joseph, MO 64506-1211 |
Juan C Dominguez | Family Medicine | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
Jonathan C Amspacher | Plastic and Reconstructive Surgery | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
Melissa M Farris | Nurse Practitioner | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
Davin G Turner | Family Medicine | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
Cody D Hanson | Dermatology | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
Alan W Brewer | Family Medicine | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
Whitney B Atha | Nurse Practitioner | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
James G Day | Family Medicine | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
Ana M Liolios | Dermatology | Heartland Regional Medical Center | 5204 N Belt Hwy Entrance A, Mosaic Life Care, St Joseph, MO 64506-1211 |
Find all physicians in zip 64506 |
City | SAINT JOSEPH |
Zip Code | 64506 |
Specialty | UROLOGY |
City + Specialty | SAINT JOSEPH + UROLOGY |
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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.