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BRADLEY LEE MOSES DDS
NPI 1417448200
Dentist - General Practice in Shreveport, LA

Active since May 29, 2018PECOS Enrolled
7030 YOUREE DR STE B, SHREVEPORT, LA 71105(318) 402-4604 Get Directions Write a Review

NPPES record last updated: June 7, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bradley Lee Moses Dds NPPES

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

BRADLEY LEE MOSES DDS (NPI 1417448200) is an individual general practice provider in Shreveport, Louisiana, licensed in Louisiana (6975) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Nashville.

NPPES Registry Identity

NPI1417448200
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBRADLEY LEE MOSESCredential: DDS
Location Address7030 YOUREE DR STE BShreveport, LA 71105-5109
Mailing Address4835 Hearst St Apt 207Metairie, LA 70001-1192 · (913) 602-0519
Phone(318) 402-4604
Sole ProprietorNo
Enumeration DateMay 29, 2018
Last NPPES UpdateJune 7, 2019
✔ NPI 1417448200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in LA · 6975
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
7030 YOUREE DR STE B, Shreveport, LA 71105
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Secondary Practice Location 1

Location 1944 21st Ave N Apt 613Nashville, TN 37208-3450 · Phone (913) 602-0519

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley Lee Moses Dds 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.

Medicare Billing Reassignment

Medicare enrollment records show Bradley Moses reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Moses Family Dentistry, LLC
224 mi
Dental
1776 N AIRLINE HWY STE B
Gonzales, LA 70737
  • Reassigned Medicare billing, Louisiana enrollment
NPI 1952007197 (225) 369-0481

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71105 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

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 Bradley Moses's NPI number?

The NPI number for Bradley Moses is 1417448200. It was assigned to this individual provider in the NPPES registry on May 29, 2018.

Where is Bradley Moses located?

Bradley Moses practices at 7030 Youree Dr Ste B, Shreveport, LA 71105. The listed phone number is (318) 402-4604.

What is Bradley Moses's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Bradley Moses enrolled in Medicare?

Yes. Bradley Moses is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bradley Moses's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Moses reassigns Medicare benefits to Moses Family Dentistry, LLC (Gonzales, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bradley Moses's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bradley Moses accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Anthem Blue Cross and Blue Shield and 15 other insurers list Bradley Moses as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bradley Moses was last updated on June 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.