National Provider Identifier Database

BROOKE C MOORE, MD – NPI #1205833704
Nephrology

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.


Contact Information

BROOKE C MOORE, MD
2500 ROUTE 347
BLDG 14A
STONY BROOK, NY11790-2554
Phone: 631-689-7800
Fax: 631-689-3016
Website:
Specialty Taxonomy Code
* Nephrology 207RN0300X

* Indicates primary specialty

NPI Profile & details for BROOKE C MOORE

NPI Number 1205833704
Credentials MD
Entity Individual
Enumeration date 06/30/2005
Last updated 09/20/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 161222
  • NY Medicaid: 01130890
  • NM Other: 390001418 MEDICARE RAIL ROAD
  • NY Other: 0C3233 HEALTHNET
  • NY Other: CS629 OXFORD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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