JACOB BROOKS MOORE PA-C
NPI 1659103083
Urology in Mobile, AL

Active since August 15, 2024PECOS EnrolledAccepts Medicare Assignment
151 DU RHU DR APT 4323, MOBILE, AL 36608(256) 914-9700 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 6, 2025, Sep 3, 2024, Aug 15, 2024 (3 updates tracked since 2024).

About Jacob Brooks Moore Pa-c NPPES

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

JACOB BROOKS MOORE PA-C (NPI 1659103083) is an individual urology provider in Mobile, Alabama, licensed in Alabama (PA.2684) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1659103083
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJACOB BROOKS MOORECredential: PA-C
Location Address151 DU RHU DR APT 4323Mobile, AL 36608-1266
Mailing Address53 Nicholas CvOxford, AL 36203-3530 · (256) 914-9700
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 15, 2024
Last NPPES UpdateNovember 6, 20253 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
NPI 1659103083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in AL · PA.2684
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
151 DU RHU DR APT 4323, Mobile, AL 36608

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jacob Brooks Moore Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981190576
PECOS Enrollment IDI20260104000061
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36608 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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 Jacob Moore's NPI number?

The NPI number for Jacob Moore is 1659103083. It was assigned to this individual provider in the NPPES registry on August 15, 2024.

Where is Jacob Moore located?

Jacob Moore practices at 151 Du Rhu Dr Apt 4323, Mobile, AL 36608. The listed phone number is (256) 914-9700.

What is Jacob Moore's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jacob Moore enrolled in Medicare?

Yes. Jacob Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacob Moore was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.