DR. BRANDON GORDON MOORE MD
NPI 1083902977
Psychiatry & Neurology - Psychiatry in Port Huron, MI

Q: 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.

Q: What is Brandon Moore's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: 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 5 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.

Active since July 13, 2011PECOS EnrolledAccepts Medicare Assignment

3111 ELECTRIC AVE, PORT HURON, MI 48060(810) 985-8900 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2022, Apr 19, 2017 (2 updates tracked since 2017).

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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

NPI1083902977

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. BRANDON GORDON MOORECredential: MD

Location Address3111 ELECTRIC AVEPort Huron, MI 48060-8127

Mailing Address3111 Electric AvePort Huron, MI 48060-8127 · (810) 985-8900

Phone(810) 985-8900

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 13, 2011

Last NPPES UpdateFebruary 10, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2026

✔ NPI 1083902977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in MI · 4301099310

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

3111 ELECTRIC AVE, Port Huron, MI 48060

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID7517197692

PECOS Enrollment IDI20160721002552

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

56 services21 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

39 services16 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

31 services17 patients

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, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230031

Location2601 Electric AvenuePort Huron, MI 48060 · St. Clair County

Emergency services

Physician 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.

New Patient

$166.68 typical visit price

range $54.34 – $166.68

Typical copayment $41.67 (range $13.58 – $41.67)

Most-billed visit code 99205

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

MRS. MARY E CROTEAU R.N.,B.S.N.

Registered Nurse