Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Bret A Moore, PA-C
Physician Assistant in Ottumwa, IA · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1639108004
See something wrong? Report a correction
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.
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
Browse all → 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.