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

Bryan Matthew Moore

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659950327

Bryan Matthew Moore is a Student in an Organized Health Care Education/Training Program in Wynnewood, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2021.

Licensed in
PA
In the registry since
2021

Practice location Address checks out

100 E Lancaster Ave
Wynnewood, PA 19096-3450
Phone: (484) 476-2000
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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 (PA)

Record details

NPI number1659950327
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2021
Last updated in NPPESApril 7, 2021
Certification dateApril 7, 2021
Mailing address100 E Lancaster Ave, Wynnewood, PA 19096-3450

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