Brian Bishop Moon
GEORGIA RADIOLOGY IMAGING CONSULTANTS LLC


Address: 12743 Ellis Island Dr, Jacksonville, FL 32224-8512
Phone: 7134613573

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.

Physician Overview

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

Claims Based Hospital Affiliation

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

Other Locations

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 Information

Organization Legal Name GEORGIA RADIOLOGY IMAGING CONSULTANTS LLC
Physicians 40

Physicians with the same organization

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

Office Location

Street Address 12743 ELLIS ISLAND DR
City JACKSONVILLE
State FL
Zip 32224-8512

Physicians in the same location

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
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Physicians in the same zip code

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
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Competitor

Search similar physicians

City JACKSONVILLE
Zip Code 32224
Specialty DIAGNOSTIC RADIOLOGY
City + Specialty JACKSONVILLE + DIAGNOSTIC RADIOLOGY

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Dataset Information

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.

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