BRENNAN MOORE
NPI 1336973346
Physician Assistant - Surgical in Orlando, FL
NPI Status: Active since August 30, 2024
- Individual
- Years of Experience 2
- Physician Assistant
- Surgical
- Accepts Medicare Approved Payment
- PECOS Enrolled
About BRENNAN MOORE
This page provides the complete NPI Profile along with additional information for Brennan Moore, a provider established in Orlando, Florida operating as a Physician Assistant, focusing in surgical and more than 2 years of experience. The healthcare provider is registered in the NPI registry with number 1336973346 assigned on August 2024. The practitioner's primary taxonomy code is 363AS0400X with license number PENDING (FL). The provider is registered as an individual and their NPI record was last updated one year ago.
- NPI
- 1336973346
- Provider Name
- BRENNAN MOORE
- Gender
- Entity Type
- Individual
- Location Address
- 60 COLUMBIA ST ORLANDO, FL 32806
- Location Phone
- (321) 843-5851
- Mailing Address
- 60 COLUMBIA ST ORLANDO, FL 32806
- Medical School Name
- OTHER
- Graduation Year
- 2024
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-30-2024
- Last Update Date
- 09-16-2024
- Code Navigator
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 Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PENDING
- License State
- FL
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 | |
2 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Medicare Participation & PECOS Enrollment Status
Brennan Moore is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Brennan Moore is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1850823873
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20241016000436
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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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 | 3 | 3 | 6 | 9 | 7 | 3 | 3 | 4 | 6 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 6 | 6 | 18 | 7 | 6 | 3 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 6 + 6 + 1 + 8 + 7 + 6 + 3 + 8 + 24 = 74 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 74 = 6 | 6 |
The NPI number 1336973346 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1982890190 | ORLANDO NEPHROLOGY & HYPERTENSION, PA Organization | Internal Medicine (Nephrology) | 60 COLUMBIA ST SUITE B ORLANDO, FL 32806 (407) 422-3456 |
1568184240 | ORLANDO HEALTH INC. Organization | Pharmacy (Community/Retail Pharmacy) | 60 COLUMBIA ST ORLANDO, FL 32806 (321) 843-8535 |
1376238618 | RODRIGO ENCINAS MD Individual | Student in an Organized Health Care Education/Training Program | 60 COLUMBIA ST ORLANDO, FL 32806 (321) 841-1764 |
1912686635 | COREY RAPHAEL ROMAN DPT Individual | Physical Therapist (Orthopedic) | 60 COLUMBIA ST ORLANDO, FL 32806 (561) 596-2993 |
1043097454 | DR. ELVIN DAVID TOLENTINO III APRN Individual | Nurse Practitioner (Acute Care) | 60 COLUMBIA ST ORLANDO, FL 32806 (321) 843-5851 |
1366121063 | MATTHEW GORDON BURKHALTER Individual | Physical Therapist (Orthopedic) | 60 COLUMBIA ST ORLANDO, FL 32806 (321) 841-5744 |
1467780817 | DANIEL PAUL D'ANDREA PT Individual | Physical Therapist (Orthopedic) | 60 COLUMBIA ST ORLANDO, FL 32806 (407) 643-1360 |
1730962861 | SARAH WEST Individual | Nurse Practitioner (Adult Health) | 60 COLUMBIA ST ORLANDO, FL 32806 (321) 843-5851 |
1174937684 | MS. THERESA CECILIA ZIMMER ARNP Individual | Nurse Practitioner (Adult Health) | 60 COLUMBIA ST ORLANDO, FL 32806 (321) 527-7200 |
1285355073 | RICHARD CHRISTOPHER LYNCH PA-C Individual | Physician Assistant (Surgical) | 60 COLUMBIA ST ORLANDO, FL 32806 (321) 843-5851 |
1811153828 | BRYAN KEITH STEWART PA-C Individual | Physician Assistant (Surgical) | 60 COLUMBIA ST ORLANDO, FL 32806 (321) 843-5851 |
1588383442 | BAILEY ANN BURBA PA Individual | Physician Assistant (Surgical) | 60 COLUMBIA ST ORLANDO, FL 32806 (321) 843-5851 |
1437612074 | DR. HAMILTON PAGE VICK MD Individual | Orthopaedic Surgery | 60 COLUMBIA ST ORLANDO, FL 32806 (321) 843-5851 |
1386429322 | DR. MARISSA GOLDHOFF DPT Individual | Physical Therapist | 60 COLUMBIA ST ORLANDO, FL 32806 (321) 843-7000 |
1952978678 | JOHN DANIEL BOCINSKY MD Individual | Family Medicine | 60 COLUMBIA ST ORLANDO, FL 32806 (407) 649-6876 |
1598597981 | COURTNEY BUTLER ATC Individual | Specialist/Technologist (Athletic Trainer) | 60 COLUMBIA ST ORLANDO, FL 32806 (407) 775-0250 |
1982109039 | BARRETT JAMES HAWKINS MD Individual | Orthopaedic Surgery (Orthopaedic Trauma) | 60 COLUMBIA ST ORLANDO, FL 32806 (321) 843-5851 |
1144971987 | KAITLIN GRAY LITTLE FNP Individual | Nurse Practitioner (Family) | 60 COLUMBIA ST ORLANDO, FL 32806 (321) 843-5851 |
1538964804 | MICHAEL ACOSTA PT Individual | Physical Therapist (Orthopedic) | 60 COLUMBIA ST ORLANDO, FL 32806 (407) 515-2420 |
1619533544 | RONALDO ANTONIO GREEN PA-C, ATC Individual | Physician Assistant (Surgical) | 60 COLUMBIA ST ORLANDO, FL 32806 (321) 843-2584 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336973346, enumerated in the NPI registry as an "individual" on August 30, 2024
The provider is located at 60 Columbia St Orlando, Fl 32806 and the phone number is (321) 843-5851
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
The provider has more than 2 years of experience.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on August 30, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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