National Provider Identifier
Brandon Michael Moore
Brandon Michael Moore is listed in the NPPES registry with a primary specialty of Physician Assistant in Rochester, NY and a listed phone number of (585) 342-2410.
Profile Overview
- NPI
- 1316762784
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 20, 2024
- Last Updated
- June 11, 2025
Practice Location
- 2619 Culver RD Ste 2A
- Rochester, NY 14609-1738
Phone: (585) 342-2410
Mailing Address
- 100 Kings Hwy S
- Rochester, NY 14617-5504
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1316762784
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Brandon
- Middle Name
- Michael
- Mailing Street Address
- 100 Kings Hwy S
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-5504
- Mailing Country
- US
- Practice Street Address
- 2619 Culver RD Ste 2A
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-1738
- Practice Country
- US
- Practice Phone
- (585) 342-2410
- Enumeration Date
- November 20, 2024
- Last Updated
- June 11, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- June 11, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)