BRIAN TYLER MOORE DO
NPI 1497558365
Student in an Organized Health Care Education/Training Program in Bridgeport, WV

Active since March 28, 2025
527 MEDICAL PARK DR STE 500, BRIDGEPORT, WV 26330(681) 342-3600 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brian Tyler Moore Do NPPES

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

BRIAN TYLER MOORE DO (NPI 1497558365) is an individual student in an organized health care education/training program in Bridgeport, West Virginia and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1497558365
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRIAN TYLER MOORECredential: DO
Location Address527 MEDICAL PARK DR STE 500Bridgeport, WV 26330-9010
Mailing Address9483 Cost Ave Unit 45Stonewood, WV 26301-7806 · (304) 997-1379
Sole ProprietorNo
Enumeration DateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
NPI 1497558365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
527 MEDICAL PARK DR STE 500, Bridgeport, WV 26330

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.

Student in an Organized Health Care Education/Training Program
527 MEDICAL PARK DR STE 500
BRIDGEPORT, WV 26330
Student in an Organized Health Care Education/Training Program
527 MEDICAL PARK DR STE 500
BRIDGEPORT, WV 26330
Anesthesiology (Pain Medicine)
527 MEDICAL PARK DR STE 500
BRIDGEPORT, WV 26330
Family Medicine
527 MEDICAL PARK DR STE 500
BRIDGEPORT, WV 26330
Student in an Organized Health Care Education/Training Program
527 MEDICAL PARK DR STE 500
BRIDGEPORT, WV 26330
Family Medicine
527 MEDICAL PARK DR STE 500
BRIDGEPORT, WV 26330
Student in an Organized Health Care Education/Training Program
527 MEDICAL PARK DR STE 500
BRIDGEPORT, WV 26330
Hospitalist
527 MEDICAL PARK DR STE 500
BRIDGEPORT, WV 26330

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 Brian Moore's NPI number?

The NPI number for Brian Moore is 1497558365. It was assigned to this individual provider in the NPPES registry on March 28, 2025.

Where is Brian Moore located?

Brian Moore practices at 527 Medical Park Dr Ste 500, Bridgeport, WV 26330. The listed phone number is (681) 342-3600.

What is Brian Moore's specialty?

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

When was this NPI record last updated?

The NPPES record for Brian Moore was last updated on March 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.