Individual
DR. FLETCHER BRADY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
834 SHERIDAN ST, PORT TOWNSEND, WA 98368-2443
(360) 385-2200
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036-157557
IL
2085R0202X
Diagnostic Radiology Physician
27931
WV
2085R0202X
Diagnostic Radiology Physician
D88788
MD
2085R0202X
Diagnostic Radiology Physician
Primary
MD61681839
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086220957
—
DC
05
—
184182300
—
MD
05
—
2334210
—
WA
Enumeration date
04/30/2015
Last updated
07/11/2025
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