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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376907931

Brady Joseph Moore is a Student in an Organized Health Care Education/Training Program in Staunton, Illinois. Practices as a sole proprietor. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

304 W 8th St
Staunton, IL 62088-2018
Phone: (217) 929-8006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1376907931
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 11, 2016
Last updated in NPPESApril 11, 2016
Mailing address304 W 8th St, Staunton, IL 62088-2018