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MOORE OBGYN LLC
NPI 1720973308
Obstetrics & Gynecology in Upper Marlboro, MD

Active since June 12, 2025
1300 CARAWAY CT STE 103, UPPER MARLBORO, MD 20774(301) 669-1870(301) 669-1873 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Moore Obgyn Llc NPPES

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

MOORE OBGYN LLC (NPI 1720973308) is a healthcare organization registered as an obstetrics & gynecology in Upper Marlboro, Maryland and active in the NPI registry since June 2025. The organization lists Brooke Henderson, Practice Admin/credentialing, as its authorized official.

NPPES Registry Identity

NPI1720973308
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMOORE OBGYN LLC
Location Address1300 CARAWAY CT STE 103Upper Marlboro, MD 20774-5462
Mailing Address7610 Pennsylvania Ave Ste 305Forestville, MD 20747-4764 · (301) 669-1870 · Fax (301) 669-1873
Phone(301) 669-1870
Fax(301) 669-1873
Organization SubpartYes
Authorized OfficialBrooke HendersonPractice Admin/credentialing · (301) 669-1870
Enumeration DateJune 12, 2025
NPPES CertifiedJune 12, 2025
✔ NPI 1720973308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1300 CARAWAY CT STE 103, Upper Marlboro, MD 20774
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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

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 Moore Obgyn LLC's NPI number?

The NPI number for Moore Obgyn LLC is 1720973308. It was assigned to this organization in the NPPES registry on June 12, 2025.

Where is Moore Obgyn LLC located?

Moore Obgyn LLC is located at 1300 Caraway Ct Ste 103, Upper Marlboro, MD 20774. The listed phone number is (301) 669-1870.

What is Moore Obgyn LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Moore Obgyn LLC was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.