Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Benjamin C Moore, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1518131754

Benjamin C Moore, MD is an Obstetrics/Gynecology in Hattiesburg, Mississippi. Qualified in 2008, 18 years ago. Practices with Hattiesburg Clinic PA, a 530-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
18
Licensed in
MS
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

421 S 28th Ave Ste 200
Hattiesburg, MS 39401-7206
Phone: (601) 268-5640
Fax: (601) 261-3507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 21901 (MS)

Record details

NPI number1518131754
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2008
Last updated in NPPESJuly 21, 2020
Certification dateJuly 21, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Hattiesburg Clinic Pa — 530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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