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

Brian Tyler Moore, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497558365

Brian Tyler Moore, DO is a Student in an Organized Health Care Education/Training Program in Bridgeport, West Virginia. Registered with an NPI since 2025.

In the registry since
2025
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.

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Practice location Address checks out

527 Medical Park Dr Ste 500
Bridgeport, WV 26330-9010
Phone: (681) 342-3600
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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 number1497558365
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 28, 2025
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025
Mailing address9483 Cost Ave Unit 45, Stonewood, WV 26301-7806

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