Mr. Bryan J Moore
Mr. Bryan J Moore is a Addiction (Substance Use Disorder) Counselor provider (Counselor) practicing in Canton, NY, registered in the NPPES registry with NPI 1124430871 since 2014.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124430871 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mr. Bryan J Moore |
| Sex | Male |
| Practice address | 80 STATE HIGHWAY 310, SUITE 1, Canton, NY, 13617 |
| Phone | 3153862189 |
| Fax | 3153862435 |
| Enumeration date | 2014-05-29 |
| Last updated in NPPES | 2014-05-29 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | Primary | — | — |
Copy-ready billing details
Provider: Bryan Moore NPI: 1124430871 Taxonomy: 101YA0400X (Addiction (Substance Use Disorder) Counselor) Address: 80 STATE HIGHWAY 310, SUITE 1, Canton, NY, 13617
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1730277138 | Sarah Murphy | Individual | Mental Health Counselor | Canton, NY |
| 1912066176 | Sunhee Sohn-Robinson | Individual | Physician Assistant | Canton, NY |
| 1104985167 | St Lawrence County | Organization | Local Education Agency (LEA) | Canton, NY |
| 1629104070 | Amy Richardson | Individual | Mental Health Counselor | Canton, NY |
| 1326167735 | Roderick Waters | Individual | Addiction (Substance Use Disorder) Counselor | Canton, NY |
| 1235258641 | Ralph Johns | Individual | Psychologist | Canton, NY |
| 1639298045 | Debra Mitchell | Individual | Social Worker | Canton, NY |
| 1053430488 | Regina Willette | Individual | Midwife | Canton, NY |
Verify this record
Cross-check NPI 1124430871 against the authoritative CMS record: view Mr. Bryan J Moore on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-05-29.