BRENDA K MOORE DO PA
NPI 1255733986
Clinic/Center in Niceville, FL

Q: What is Brenda K Moore Do PA's NPI number?

The NPI number for Brenda K Moore Do PA is 1255733986. It was assigned to this organization in the NPPES registry on September 25, 2014.

Q: What is Brenda K Moore Do PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since September 25, 2014

1003 COLLEGE BLVD W, SUITE #2, NICEVILLE, FL 32578(850) 678-0443 Get Directions Write a Review

NPPES record last updated: September 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Brenda K Moore Do Pa NPPES

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

BRENDA K MOORE DO PA (NPI 1255733986) is a healthcare organization registered as a clinic/center in Niceville, Florida and active in the NPI registry since September 2014. The organization lists Brenda Kay Moore, President, as its authorized official.

NPPES Registry Identity

NPI1255733986

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameBRENDA K MOORE DO PA

Location Address1003 COLLEGE BLVD W, SUITE #2Niceville, FL 32578-1068

Mailing Address1003 College Blvd W, Suite #2Niceville, FL 32578-1068 · (850) 678-0443

Phone(850) 678-0443

Organization SubpartNo

Authorized OfficialBrenda Kay MoorePresident · (832) 686-1965

Enumeration DateSeptember 25, 2014

✔ NPI 1255733986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

License✔ Licensed in FL · OS 12957

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

1003 COLLEGE BLVD W, Niceville, FL 32578

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Other Providers at the Same Location NPPES 4

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

MR. CORY MARCUS SCOTT P.T.

Physical Therapist

1003 COLLEGE BLVD W, SUITE 1
NICEVILLE, FL 32578

Okaloosa County (850) 862-1999

EMERALD COAST NECK & BACK CLINIC, P.A.

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)

1003 COLLEGE BLVD W, SUITE 4
NICEVILLE, FL 32578

Okaloosa County (850) 279-6485

WAYNE P JUSTICE MD

Family Medicine

1003 COLLEGE BLVD W, STE 2
NICEVILLE, FL 32578

Okaloosa County (850) 678-0443

CHRISTO W KOULISIS MD

Specialist

1003 COLLEGE BLVD W, SUITE 4
NICEVILLE, FL 32578

Okaloosa County (850) 279-6789

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 Brenda K Moore Do PA's NPI number?

The NPI number for Brenda K Moore Do PA is 1255733986. It was assigned to this organization in the NPPES registry on September 25, 2014.

Where is Brenda K Moore Do PA located?

Brenda K Moore Do PA is located at 1003 College Blvd W Suite #2, Niceville, FL 32578. The listed phone number is (850) 678-0443.

What is Brenda K Moore Do PA's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Brenda K Moore Do PA was last updated on September 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.