BRET A MOORE PA-C
NPI 1639108004
Physician Assistant in Ottumwa, IA

NPI Status: Active since June 30, 2006

Contact Information

920 N QUINCY AVE
OTTUMWA, IA
ZIP 52501
Phone: (641) 455-5200
Fax: (641) 455-5150

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Insurance Plans Accepted
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Physician Assistant

About BRET MOORE

This page provides the complete NPI Profile along with additional information for Bret Moore, a primary care provider established in Ottumwa, Iowa with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1639108004 assigned on June 2006. The practitioner's primary taxonomy code is 363A00000X with license number 087087 (IA). The provider is registered as an individual and his NPI record was last updated 3 years ago.

NPI: 1639108004
Provider Name: BRET A MOORE PA-C
Gender: Male
Entity Type: Individual
Location Address: 920 N QUINCY AVE OTTUMWA, IA 52501
Location Phone: (641) 455-5200
Location Fax: (641) 455-5150
Mailing Address: 920 N QUINCY AVE OTTUMWA, IA 52501
Mailing Phone: (641) 455-5200
Mailing Fax: (641) 455-5150
Is Sole Proprietor?: No
Enumeration Date: 06-30-2006
Last Update Date: 07-21-2022
Code Navigator

A primary care provider (PCP) like Bret Moore sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Physician Assistant
Taxonomy Code: 363A00000X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: 087087
License State: IA
Taxonomy Description: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant	1436 (NE)
2	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant	PA10004070 (WA)
3	363A00000X	Physician Assistants & Advanced Practice Nursing Providers	Physician Assistant	PA162693 (OR)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
0219804	OTHER (01)	WA	L&I
560910078	OTHER (01)	IA	MEDICARE PTAN
087087	OTHER (01)	IA	IOWA LICENSE
8354698	MEDICAID (05)	WA

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	6	3	9	1	0	8	0	0	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	6	6	9	2	0	16	0	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 0 + 1 + 6 + 0 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 4									4

The NPI number 1639108004 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.