Moore, Brian Andrew

Moore, Brian Andrew is an individual health care provider with primary practice located at 307 Boatner Rd Suite 114, Eglin Afb FL 32542-1391. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck. Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck is his primary health care specialty. Moore, Brian Andrew can be contacted via phone (850) 883-8264.

Contact Information

Primary practice address
307 Boatner Rd Suite 114 Eglin Afb FL 32542-1391
Phone: (850) 883-8264
Fax: (850) 883-8253
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X L7051 Texas
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X MD.200570 Louisiana

Profile Details

NPI number 1548248552
LBN Legal business name Moore, Brian Andrew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Sep 3rd, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548248552 NPPES
Louisiana MEDICAID 1465917
Louisiana MEDICAID 04630817

Popular Providers