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

Active since March 25, 2025PECOS Enrolled
8201 W BLVD, PLANTATION, FL 33324(954) 829-0639 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 12

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

ZINAT KARIMI MD
Student in an Organized Health Care Education/Training Program
8201 W BLVD
PLANTATION, FL 33324
Broward County (954) 205-1826
DR. TAYLOR DAVID SCHNEPP MD
Student in an Organized Health Care Education/Training Program
8201 W BLVD, GME
PLANTATION, FL 33324
Broward County (954) 547-3407
DR. NICO BOTELHO
Student in an Organized Health Care Education/Training Program
8201 W BLVD
PLANTATION, FL 33324
Broward County (401) 408-0365
EMMA GONG PARENT
Student in an Organized Health Care Education/Training Program
8201 W BLVD
PLANTATION, FL 33324
Broward County (954) 829-0639
DR. DAMIEN CANDELARIA MD
Student in an Organized Health Care Education/Training Program
8201 W BLVD
PLANTATION, FL 33324
Broward County (786) 512-1991
TYLER JAMES ROGERS MD
Student in an Organized Health Care Education/Training Program
8201 W BLVD
PLANTATION, FL 33324
Broward County (954) 829-0639
TAYLOR TISCHHAUSER DO
Student in an Organized Health Care Education/Training Program
8201 W BLVD, HCA FLORIDA WESTSIDE HOSPITAL
PLANTATION, FL 33324
Broward County (954) 829-0639
JAD J KAWOUK
Student in an Organized Health Care Education/Training Program
8201 W BLVD, GME
PLANTATION, FL 33324
Broward County (954) 298-6155

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 Bryan Moody's NPI number?

The NPI number for Bryan Moody is 1114729811. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Bryan Moody located?

Bryan Moody practices at 8201 W Blvd, Plantation, FL 33324. The listed phone number is (954) 829-0639.

What is Bryan Moody's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Bryan Moody enrolled in Medicare?

Yes. Bryan Moody is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bryan Moody was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.