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

Brenda Kay Moore, DO

Individual provider Family Medicine Physician · NPI 1275824120

Brenda Kay Moore, DO is a Family Practice in Gallup, New Mexico. Qualified in 2011, 15 years ago. Practices with Dhhs, Phs, Naihs, Gallup Indian Medical Center, a 181-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
15
Licensed in
AZ
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1253
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 009519 (AZ)

Record details

NPI number1275824120
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 27, 2011
Last updated in NPPESJuly 23, 2024
Certification dateJuly 23, 2024
Mailing address825 Outlaw Rd Unit 73, Church Rock, NM 87311-0014

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Dhhs,Phs,Naihs, Gallup Indian Medical Center — 181 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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