# MR. BRAD PRESTON MOORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093057721
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 11267606-1205 | UT | Yes |
| 207L00000X | Anesthesiology Physician | 23200 | ND | — |
| 207L00000X | Anesthesiology Physician | 4301515524 | MI | — |
| 207L00000X | Anesthesiology Physician | MD70058882 | WA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | — | — |

## Other

- **Enumeration date:** 03/20/2013
- **Last updated:** 09/11/2026