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

Dr. Glenndale Moore, MD

Individual provider Cardiovascular Disease Physician · NPI 1164485033

Dr. Glenndale Moore, MD is a Cardiovascular Disease (Cardiology) in Raleigh, North Carolina. Graduated from Wake Forest University School of Medicine in 1979, 47 years ago. Accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
47
Trained at
Wake Forest University School of Medicine
Licensed in
NC
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2949 New Bern Ave Ste 112-A
Raleigh, NC 27610-1248
Phone: (919) 231-3614
Fax: (919) 212-9029
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 24609 (NC)

Record details

NPI number1164485033
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 10, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Also practisesINTERNAL MEDICINE
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Raleigh