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

Individual provider Psychiatry Physician · NPI 1083902977

Dr. Brandon Gordon Moore, MD is a Psychiatry in Port Huron, Michigan. Qualified in 2011, 15 years ago. Practices with St Clair County Community Mental Health Authority, a 53-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2011
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

3111 Electric Ave
Port Huron, MI 48060-8127
Phone: (810) 985-8900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 4301099310 (MI)

Record details

NPI number1083902977
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 13, 2011
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026
Mailing address3111 Electric Ave, Port Huron, MI 48060-8127

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice St Clair County Community Mental Health Authority — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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