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

Blake Walter Moore, MD

Individual provider Urology Physician · NPI 1992903769

Blake Walter Moore, MD is an Urology in Richmond, Virginia. Graduated from Virginia Commonwealth Univ School of Dentistry in 2007, 19 years ago. Practices with Virginia Urology Center, a 90-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
19
Trained at
Virginia Commonwealth Univ School of Dentistry
Licensed in
VA
In the registry since
2007
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

9101 Stony Point Dr
Richmond, VA 23235
Phone: (804) 330-9105
Fax: (804) 287-6119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 0101256077 (VA)

Record details

NPI number1992903769
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2007
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020
Mailing address9101 Stony Point Dr., Richmond, VA 23235

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolVIRGINIA COMMONWEALTH UNIV SCHOOL OF DENTISTRY
Graduated 2007 (19 years in practice)
Group practice Virginia Urology Center — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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