Lookup NPI Numbers from the NPI Registry
NPI Profile for BRAD E MOORE in JOHNSON CITY, TN.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI # | 1578094207 |
|
| Status | Active | |
| Credentials | NP (Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 03/24/2017 | |
| Last updated | 05/20/2026 - About 2 weeks ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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BRAD E MOORE
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BRAD E MOORE, NP