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

Brandon Michael Moore

Individual provider Physician Assistant · NPI 1316762784

Brandon Michael Moore is a Physician Assistant in Rochester, New York. Qualified in 2024, 2 years ago. Practices with Western New York Medical Practice PC, a 528-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2619 Culver Rd Ste 2A
Rochester, NY 14609-1738
Phone: (585) 342-2410
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 953 Danby Rd, Ithaca, NY 14850-7002 — (607) 274-3011

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 033828 (NY)

Record details

NPI number1316762784
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 20, 2024
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Western New York Medical Practice Pc — 528 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Rochester