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

Jacob E Moore, MD

Individual provider Obesity Medicine (Internal Medicine) Physician · NPI 1154617058

Jacob E Moore, MD is an Emergency Medicine in Brockton, Massachusetts. Graduated from University of Toledo College of Medicine in 2011, 15 years ago. Practices with Geniemd Medical Group Mo PC, a 24-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Massachusetts.

Years since qualifying
15
Trained at
University of Toledo College of Medicine
Licensed in
IL, MA
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Gsmc - Emergency Dept 235 North Pearl ST
Brockton, MA 02301
Phone: (508) 427-3000
Show map & directions

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

Additional practice locations (1)

  • Semc - Emergency Department, Brighton, MA 02135 — (508) 427-3000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 258476 (MA)
Obesity Medicine (Internal Medicine) Physician Taxonomy 207RB0002X · Licence 90000429 (MA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 125-059970 (IL)

Record details

NPI number1154617058
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 20, 2011
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing addressBmchs Provider Enrollment, 960 Massachusetts Ave Flr 2, Boston, MA 02118

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolUNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Geniemd Medical Group Mo Pc — 24 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount