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

Richard James Moore, DO

Individual provider Family Medicine Physician · NPI 1902167232

Richard James Moore, DO is a Family Practice in Bonifay, Florida. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2012, 14 years ago. Practices with St Vincent's Ambulatory Care Inc, a 302-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
14
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
FL
In the registry since
2012
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.

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Practice location Address checks out

1702 S Waukesha St
Bonifay, FL 32425-3114
Phone: (850) 547-9991
Fax: (888) 730-6946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence OS 12696 (FL)
Family Medicine Physician Taxonomy 207Q00000X · Licence UO 3229 (FL)

Record details

NPI number1902167232
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 4, 2012
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025
Mailing address1702 S Waukesha St, Bonifay, FL 32425-3114

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2012 (14 years in practice)
Group practice St Vincent'S Ambulatory Care Inc — 302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bonifay