Moseley, Brad L
Moseley, Brad L is an individual health care provider with primary practice located at 795 Tramway Ln Ne , Albuquerque NM 87122-1606. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moseley, Brad L can be contacted via phone (505) 314-3696.Contact Information
Primary practice address
795 Tramway Ln Ne
Albuquerque NM 87122-1606
Phone: (505) 314-3696
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2000167451 | Missouri |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 91-272 | New Mexico |
Profile Details
| NPI number | 1912906819 |
|---|---|
| LBN Legal business name | Moseley, Brad L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | May 20th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912906819 | NPPES |
| Missouri | Other | 80167881 | RAILROAD MEDICARE |
| Missouri | MEDICAID | 205125107 | RAILROAD MEDICARE |
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