National Provider Identifier Database

BEVERLY D MOOSE, MD – NPI #1487747648
Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.


Contact Information

BEVERLY D MOOSE, MD
3333 SILAS CREEK PKWY
WINSTON-SALEM, NC27103-3013
Phone: 336-718-5095
Fax: 336-718-9895
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X

* Indicates primary specialty

NPI Profile & details for BEVERLY D MOOSE

NPI Number 1487747648
Credentials MD
Entity Individual
Enumeration date 10/02/2006
Last updated 12/11/2012 - About 13 years ago
Sole proprietor1 No
Identifiers
  • NC License #: 96-00124
  • NC Medicaid: 8960531
  • VA Medicaid: 5860531
  • Other: 6760232005 CIGNA HEALTH CARE
  • Other: 97953 MEDCOST
  • Other: 13799 PARTNERS NATIONAL HEALTH
  • Other: 2408394 UNITED HEALTH CARE
  • NC Other: 60531 BLUE CROSS/BLUE SHIELD
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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