Individual
BRADLEY J. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1600 ACCELERATOR WAY STE 200, KNOXVILLE, TN 37920-3078
(865) 546-2663
(865) 546-9047
Mailing address
8320 E WALKER SPRINGS LN STE 200, KNOXVILLE, TN 37923-3120
(865) 769-4500
(865) 769-4501
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2115
TN
363AS0400X
Surgical Physician Assistant
2115
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528209
—
TN
01
—
4323294
BLUECROSS BLUESHIELD
TN
01
—
4328037
BLUECROSS BLUESHIELD - PA AT SURGERY
TN
01
—
P01243057
RAILROAD MEDICARE
TN
Enumeration date
03/05/2012
Last updated
01/15/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us