DR. BRYAN PATRICK MOODY DO - NPI 1114729811 - Student in an Organized Health Care Education/Training Program in Plantation, FL

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Dr. Bryan Patrick Moody Do NPPES

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

DR. BRYAN PATRICK MOODY DO (NPI 1114729811) is an individual student in an organized health care education/training program in Plantation, Florida and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114729811

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. BRYAN PATRICK MOODYCredential: DO

Location Address8201 W BLVDPlantation, FL 33324

Mailing Address8201 W BlvdPlantation, FL 33324 · (954) 829-0639

Phone(954) 829-0639

Sole ProprietorNo

Enumeration DateMarch 25, 2025

NPPES CertifiedMarch 25, 2025

✔ NPI 1114729811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

8201 W BLVD, Plantation, FL 33324

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bryan Patrick Moody Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAMIEN CANDELARIA MD