DR. BRANDON GORDON MOORE MD
NPI 1083902977
Psychiatry & Neurology - Psychiatry in Port Huron, MI
About Dr. Brandon Gordon Moore Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRANDON GORDON MOORE MD (NPI 1083902977) is an individual psychiatry provider in Port Huron, Michigan, licensed in Michigan (4301099310) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Lake Huron Medical Center, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Brandon Gordon Moore Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Brandon Moore reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Port Huron, MI 48060
- Reassigned Medicare billing, Michigan enrollment
- 6 clinicians in this Medicare group
Detroit, MI 48213
- Reassigned Medicare billing, Michigan enrollment
- 59 clinicians in this Medicare group
Okemos, MI 48864
- Reassigned Medicare billing, Michigan enrollment
- 916 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lake Huron Medical Center
Acute Care Hospitals · Port Huron, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48060 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Brandon Moore's NPI number?
The NPI number for Brandon Moore is 1083902977. It was assigned to this individual provider in the NPPES registry on July 13, 2011.
Where is Brandon Moore located?
Brandon Moore practices at 3111 Electric Ave, Port Huron, MI 48060. The listed phone number is (810) 985-8900.
What is Brandon Moore's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Brandon Moore enrolled in Medicare?
Yes. Brandon Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Brandon Moore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Moore reassigns Medicare benefits to 3 organizations: St Clair County Community Mental Health Authority (Port Huron, MI), St Mary Mercy Physician Practices (Detroit, MI) and Edward W. Sparrow Hospital Association (Okemos, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brandon Moore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brandon Moore accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Brandon Moore as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Brandon Moore affiliated with any hospitals?
According to CMS data, Brandon Moore is affiliated with Lake Huron Medical Center.
When was this NPI record last updated?
The NPPES record for Brandon Moore was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Brandon Gordon Moore, MD · NPI 1083902977
Psychiatry physician in Port Huron, Michigan. Individual provider, active in the CMS NPPES registry since July 13, 2011.
## Identity
- **NPI:** 1083902977 (Entity type: Individual)
- **Enumerated:** July 13, 2011
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 4301099310 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3111 ELECTRIC AVE, Port Huron, MI 48060-8127
- **Phone:** (810) 985-8900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): St Clair County Community Mental Health Authority (NPI 1689783672, Port Huron, MI); St Mary Mercy Physician Practices (NPI 1801303086, Detroit, MI); Edward W. Sparrow Hospital Association (NPI 1437102357, Okemos, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** February 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1083902977) · Data from the CMS NPPES public registry.