Individual
BRIAN E. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
284981
MA
207ZP0101X
Anatomic Pathology Physician
284981
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036115598
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
DR.0055623
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110165424A
—
MA
Enumeration date
09/29/2006
Last updated
02/18/2026
Update your record
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