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

Charles Henry Moore, MD

Individual provider Gastroenterology Physician · NPI 1629020011

Charles Henry Moore, MD is a Gastroenterology in Bryan, Texas. Graduated from University of Arkansas College of Medicine in 2000, 26 years ago. Practices with Central Texas Digestive Disease Association, PA, a 9-clinician group and accepts Medicare assignment. Licensed in Arkansas and Texas.

Years since qualifying
26
Trained at
University of Arkansas College of Medicine
Licensed in
AR, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2206 E Villa Maria Rd
Bryan, TX 77802-2547
Phone: (979) 776-4600
Fax: (979) 776-8749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence M4372 (TX)
Gastroenterology Physician Taxonomy 207RG0100X · Licence E-4612 (AR)

Record details

NPI number1629020011
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2006
Last updated in NPPESJuly 22, 2020
Certification dateJuly 22, 2020
Mailing address2206 E Villa Maria Rd, Bryan, TX 77802-2547

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Central Texas Digestive Disease Association, Pa — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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