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

Dr. Kenneth David Moore, MD

Individual provider Orthopaedic Surgery Physician · NPI 1184646473

Dr. Kenneth David Moore, MD is an Orthopedic Surgery in Birmingham, Alabama. Graduated from Vanderbilt University School of Medicine in 1991, 35 years ago. Practices with Champion Sports Medicine Birmingham, LLC, a 187-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
35
Trained at
Vanderbilt University School of Medicine
Licensed in
AL
In the registry since
2006
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

805 Saint Vincents Dr Ste 100
Birmingham, AL 35205-1638
Phone: (205) 939-3699
Fax: (205) 484-2585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5406 Highway 280 Ste D106, Hoover, AL 35242-6596 — (205) 939-3699

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 24165 (AL)

Record details

NPI number1184646473
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 24, 2006
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Champion Sports Medicine Birmingham, Llc — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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