Brian Bishop Moon (NPI# 1003018342, PAC ID# 5698914497) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
Nation Provider ID (NPI) | 1003018342 |
PAC ID by PECOS | 5698914497 |
Professional Enrollment ID | I20130626000397 |
Full Name | Brian Bishop Moon |
Organization Legal Name | GEORGIA RADIOLOGY IMAGING CONSULTANTS LLC |
Address |
12743 Ellis Island Dr Jacksonville FL 32224-8512 |
Phone Number | 7134613573 |
Gender | M |
Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2007 |
Primary Specialty | DIAGNOSTIC RADIOLOGY |
Secondary Specialties | INTERVENTIONAL RADIOLOGY |
Group Practice PAC ID | 5698930774 |
Number of Group Practice Members | 66 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
100226 | ORANGE PARK MEDICAL CENTER |
100088 | BAPTIST MEDICAL CENTER JACKSONVILLE |
100179 | MEMORIAL HOSPITAL JACKSONVILLE |
110003 | MAYO CLINIC HEALTH SYSTEM IN WAYCROSS |
100117 | BAPTIST MEDICAL CENTER BEACHES |
Address | Phone | Organization |
---|---|---|
3600 N 32nd Ave, Hollywood, FL 33021-2612 | 8324135302 | GEORGIA RADIOLOGY IMAGING CONSULTANTS LLC |
12743 Ellis Island Dr, Jacksonville, FL 32224-8512 | 7134613573 | GEORGIA RADIOLOGY IMAGING CONSULTANTS LLC |
3599 University Blvd S, Suite 300, Jacksonville, FL 32216-4245 | 9043995550 | MORI BEAN AND BROOKS, INC |
Organization Legal Name | GEORGIA RADIOLOGY IMAGING CONSULTANTS LLC |
Physicians | 40 |
Name | Specialty | Organization | Address |
---|---|---|---|
Amanda Sue Kent | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3600 N 32nd Ave, Hollywood, FL 33021-2612 |
Matthew Earl Harris | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 1320 Kainui Dr, Kailua, HI 96734-1935 |
Eduardo Oyola Torres | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3600 N 32nd Ave, Hollywood, FL 33021-2612 |
Trishna Y Patel | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 |
Jeffrey H West | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3599 University Blvd S, Suite 300, Jacksonville, FL 32216-4245 |
Krishna D Thirumala | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3599 University Blvd S, Suite 300, Jacksonville, FL 32216-4245 |
Mary Alderman | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3600 N 32nd Ave, Hollywood, FL 33021-2612 |
Richard C Buxton | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 |
Jay E Jones | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 3600 N 32nd Ave, Hollywood, FL 33021-2612 |
Pankit Parikh | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 |
Street Address |
12743 ELLIS ISLAND DR |
City | JACKSONVILLE |
State | FL |
Zip | 32224-8512 |
Name | Specialty | Organization | Address |
---|---|---|---|
Trishna Y Patel | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 |
Stephanie Font Diaz | Diagnostic Radiology | Singleton Associates Pa | 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 |
Richard C Buxton | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 |
Pankit Parikh | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 |
Eric H Schallen | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 |
Michael Joseph Borbely | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 |
Andrew Dominic Mcbride | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 |
Steve Shirley | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 |
Francisco J Rodriguez | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 |
Peter Mcgraw | Diagnostic Radiology | Georgia Radiology Imaging Consultants LLC | 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Daniel A Black | Podiatry | Jason Manuel Pa | 13400 Sutton Park Dr S, Suite 1103, Jacksonville, FL 32224-0235 |
Jason Manuel | Podiatry | Jason Manuel Pa | 13400 Sutton Park Dr S, Suite 1103, Jacksonville, FL 32224-0235 |
Randi Most | Psychologist, Clinical | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0237 | |
John R Moreland | Psychologist, Clinical | Affiliated Health Psychologists | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0237 |
Eileen Krimsky | Psychologist, Clinical | Affiliated Health Psychologists | 13400 Sutton Park Dr S, Suite 1504, Jacksonville, FL 32224-0237 |
Robert Stephen Woodward | Occupational Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
Amy Oliver | Physical Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
Laurie Scheer Berger | Physical Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
Nancy Kysela | Physical Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
Mariane Pistelli Ferreira | Physical Therapy | Revive Rehab Inc | 4745 Sutton Park Ct, Suite 403, Jacksonville, FL 32224-0255 |
Find all physicians in zip 32224 |
City | JACKSONVILLE |
Zip Code | 32224 |
Specialty | DIAGNOSTIC RADIOLOGY |
City + Specialty | JACKSONVILLE + DIAGNOSTIC RADIOLOGY |
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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.