BRYAN MATTHEW MOORE
NPI 1659950327
Student in an Organized Health Care Education/Training Program in Wynnewood, PA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 07, 2021PECOS Enrolled

100 E LANCASTER AVE, WYNNEWOOD, PA 19096(484) 476-2000 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Bryan Matthew Moore NPPES

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

BRYAN MATTHEW MOORE (NPI 1659950327) is an individual student in an organized health care education/training program in Wynnewood, Pennsylvania and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659950327

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameBRYAN MATTHEW MOORE

Location Address100 E LANCASTER AVEWynnewood, PA 19096-3450

Mailing Address100 E Lancaster AveWynnewood, PA 19096-3450 · (484) 476-2000

Phone(484) 476-2000

Sole ProprietorNo

Enumeration DateApril 7, 2021

NPPES CertifiedApril 7, 2021

✔ NPI 1659950327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

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.

100 E LANCASTER AVE, Wynnewood, PA 19096

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan Matthew Moore 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.