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

Mary Montgomery Bourke Moseley, DO

Individual provider Emergency Medicine Physician · NPI 1235593161

Mary Montgomery Bourke Moseley, DO is an Emergency Medicine in Bronx, New York. Graduated from Philadelphia College of Osteopathic Medicine in 2016, 10 years ago. Practices with Montefiore Medical Center, a 2,796-clinician group and works from 2 locations. Licensed in New York.

Years since qualifying
10
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
NY
In the registry since
2016
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.

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Practice location Address checks out

111 E 210th St
Bronx, NY 10467-2401
Phone: (718) 920-6626
Show map & directions

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

Additional practice locations (1)

  • 1400 Pelham Pkwy S, Bronx, NY 10461-1138 — (718) 918-5820

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 304487 (NY)

Record details

NPI number1235593161
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 6, 2016
Last updated in NPPESJune 18, 2020
Certification dateJune 18, 2020

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2016 (10 years in practice)
Group practice Montefiore Medical Center — 2796 clinicians
Accepts Medicare assignment Not indicated

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