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

Dr. Brandon K Moore, DO

Individual provider Internal Medicine Physician · NPI 1396908430

Dr. Brandon K Moore, DO is an Internal Medicine in Johnson City, Tennessee. Graduated from University of Pikeville, Kentucky College of Osteopathic Med in 2008, 18 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group and accepts Medicare assignment. Licensed in Tennessee and Virginia.

Years since qualifying
18
Trained at
University of Pikeville, Kentucky College of Osteopathic Med
Licensed in
TN, VA
In the registry since
2008
Specialties on file
2
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

301 Med Tech Pkwy Ste 240
Johnson City, TN 37604-2641
Phone: (423) 794-5520
Fax: (423) 282-6940
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 2317 (TN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 0102202866 (VA)

Record details

NPI number1396908430
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 9, 2008
Last updated in NPPESMay 2, 2020
Certification dateMay 2, 2020
Mailing address215 E Springbrook Dr, Johnson City, TN 37601-1761

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolUNIVERSITY OF PIKEVILLE, KENTUCKY COLLEGE OF OSTEOPATHIC MED
Graduated 2008 (18 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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