Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Bret A Moore, PA-C

Physician Assistant in Ottumwa, IA · enumerated 2006 · practices at Pella Regional Health Center.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1639108004

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Registry record

Entity type Individual (Type 1)

Name Bret A Moore

Credential PA-C

Sex Male

Practice address 920 N Quincy Ave, Ottumwa, IA, 52501

Phone (641) 455-5200

Fax (641) 455-5150

Enumeration date Jun 30, 2006

Last updated in NPPES Jul 21, 2022

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 1436 (NE) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA10004070 (WA) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA162693 (OR) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 087087 (IA) Primary

Other identifiers

Identifier	Type	State	Issuer
560910078	Other	IA	MEDICARE PTAN
0219804	Other	WA	L&I
087087	Other	IA	IOWA LICENSE
8354698	Medicaid	WA	-

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.

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Frequently asked questions

How do I verify Bret Moore's NPI record?

Cross-check NPI 1639108004 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1639108004 active?

Yes, as of the latest NPPES snapshot, NPI 1639108004 is active (record last updated 2022-07-21).

Other providers at this practice address

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Joseph Coleman Obstetrics & Gynecology Physician · Ottumwa, IA NPI 1841294881 Stewart Kanis Family Medicine Physician · Ottumwa, IA NPI 1447225123 Elizabeth Siitari Family Medicine Physician · Ottumwa, IA NPI 1548236664 Bethanne Stevens Family Nurse Practitioner · Ottumwa, IA NPI 1316189004 Heidi Van Maanen Family Medicine Physician · Ottumwa, IA NPI 1740500099 David Burrows Family Nurse Practitioner · Ottumwa, IA NPI 1407156458 Pella Regional Health Center Rural Health Clinic/Center · Ottumwa, IA NPI 1508101221 Shelly Edwards Family Nurse Practitioner · Ottumwa, IA NPI 1245671122

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.