BRIDGET MOORE
NPI 1104405414
Pediatrics in Grand Rapids, MI

Q: What is Bridget Moore's NPI number?

The NPI number for Bridget Moore is 1104405414. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Q: What is Bridget Moore's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Bridget Moore was last updated on May 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 April 05, 2021

330 BARCLAY AVE NE STE 300, GRAND RAPIDS, MI 49503(616) 391-8810 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 25, 2022, Apr 5, 2021 (2 updates tracked since 2021).

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About Bridget Moore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIDGET MOORE (NPI 1104405414) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4351047958) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1104405414

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameBRIDGET MOORE

Location Address330 BARCLAY AVE NE STE 300Grand Rapids, MI 49503-2527

Mailing Address330 Barclay Ave Ne Ste 300Grand Rapids, MI 49503-2527

Phone(616) 391-8810

Sole ProprietorNo

Enumeration DateApril 5, 2021

Last NPPES UpdateMay 25, 20222 updates tracked since enumeration

NPPES CertifiedMay 25, 2022

✔ NPI 1104405414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4351047958

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

330 BARCLAY AVE NE STE 300, Grand Rapids, MI 49503

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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.

AUBREY GRAHAM MD

Pediatrics