BRYAR MOORE
NPI 1619781465
Student in an Organized Health Care Education/Training Program in Kirksville, MO

Active since February 03, 2025
500 W JEFFERSON ST, KIRKSVILLE, MO 63501(866) 626-2878 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bryar Moore NPPES

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

BRYAR MOORE (NPI 1619781465) is an individual student in an organized health care education/training program in Kirksville, Missouri and active in the NPI registry since February 2025. He maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1619781465
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRYAR MOORE
Location Address500 W JEFFERSON STKirksville, MO 63501
Mailing Address701 W Scott St Apt 2Kirksville, MO 63501-1555
Sole ProprietorNo
Enumeration DateFebruary 3, 2025
NPPES CertifiedJanuary 29, 2025
NPI 1619781465 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.
500 W JEFFERSON ST, Kirksville, MO 63501

Secondary Practice Location 1

Location 11500 Park AveSaint Louis, MO 63104-3024 · Phone (314) 833-2700

Other Providers at the Same Location NPPES 16

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

Dental Assistant
500 W JEFFERSON ST
KIRKSVILLE, MO 63501
Student in an Organized Health Care Education/Training Program
500 W JEFFERSON ST
KIRKSVILLE, MO 63501
Student in an Organized Health Care Education/Training Program
500 W JEFFERSON ST
KIRKSVILLE, MO 63501
Student in an Organized Health Care Education/Training Program
500 W JEFFERSON ST
KIRKSVILLE, MO 63501
Student in an Organized Health Care Education/Training Program
500 W JEFFERSON ST
KIRKSVILLE, MO 63501
Student in an Organized Health Care Education/Training Program
500 W JEFFERSON ST
KIRKSVILLE, MO 63501
Student in an Organized Health Care Education/Training Program
500 W JEFFERSON ST
KIRKSVILLE, MO 63501
Student in an Organized Health Care Education/Training Program
500 W JEFFERSON ST
KIRKSVILLE, MO 63501

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 Bryar Moore's NPI number?

The NPI number for Bryar Moore is 1619781465. It was assigned to this individual provider in the NPPES registry on February 3, 2025.

Where is Bryar Moore located?

Bryar Moore practices at 500 W Jefferson St, Kirksville, MO 63501. The listed phone number is (866) 626-2878.

What is Bryar 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 Bryar Moore was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.