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

Bradley J. Moore, PA

Individual provider Physician Assistant · NPI 1346514692

Bradley J. Moore, PA is a Physician Assistant in Knoxville, Tennessee. Qualified in 2011, 15 years ago. Practices with Orthotennessee PC, a 154-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
15
Licensed in
TN
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1600 Accelerator Way Ste 200
Knoxville, TN 37920-3078
Phone: (865) 546-2663
Fax: (865) 546-9047
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1926 Alcoa Hwy, Knoxville, TN 37920-1545 — (865) 546-2663

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2115 (TN)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2115 (TN)

Record details

NPI number1346514692
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 5, 2012
Last updated in NPPESJanuary 15, 2026
Certification dateJanuary 15, 2026
Mailing address8320 E Walker Springs Ln Ste 200, Knoxville, TN 37923-3120

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Orthotennessee Pc — 154 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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