Brody Moore, LPN - Licensed Practical Nurse in Rogers, AR

Brody Moore, LPN is a Licensed Practical Nurse based in Rogers, Arkansas. Brody Moore is licensed to practice in Arkansas (license number L055574) and his current practice location is 3400 N Woods Ln, Rogers, Arkansas. He can be reached at his office (for appointments etc.) via phone at (479) 636-3190.

NPI number for Brody Moore is 1487352654 and his current mailing address is 3400 N Woods Ln, Rogers, Arkansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487352654.

Contact Information

Brody Moore, LPN
3400 N Woods Ln,
Rogers, AR 72756-6712
(479) 636-3190
Not Available



Provider's Profile

Full NameBrody Moore
GenderMale
SpecialityLicensed Practical Nurse
Location3400 N Woods Ln, Rogers, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487352654
  • Provider Enumeration Date: 02/17/2023
  • Last Update Date: 02/17/2023

Medical Identifiers

Medical identifiers for Brody Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487352654NPI-NPPES
251C00000XMedicaidAR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse L055574 (Arkansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brody Moore is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Brody Moore, LPN
3400 N Woods Ln,
Rogers, AR 72756-6712

Ph: (479) 636-3190
Brody Moore, LPN
3400 N Woods Ln,
Rogers, AR 72756-6712

Ph: (479) 636-3190

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› Verified 3 days ago


Licensed Practical Nurse Nurses in Rogers, AR

Dana Renee Satchel, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 609 W Dyke Rd, Rogers, AR 72758
Phone: 479-927-3000    
Ashley Newell,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3307 N Dixieland Rd, Rogers, AR 72756
Phone: 479-986-5150    Fax: 479-986-5191
Mrs. Tina Louise Patrick, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3307 N Dixieland Rd, Rogers, AR 72756
Phone: 479-986-5150    Fax: 479-986-5191
Kellie Nicole Underwood,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3307 N Dixieland Rd, Rogers, AR 72756
Phone: 479-986-5150    Fax: 479-986-5191
Mrs. Joyce Kathleen Deshields, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3400 N Woods Ln, Rogers, AR 72756
Phone: 479-636-3190    Fax: 479-636-4587
Cynthia Gail Crawford,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1400 Hardwood Dr, Rogers, AR 72758
Phone: 870-480-7809    
Megan Michelle Bolin,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 3307 N Dixieland Rd, Rogers, AR 72756
Phone: 479-986-5150    Fax: 479-986-5191

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