Search › Massachusetts › 207P00000X
Jacob Moore, MD
NPI 1154617058 · on the registry since 2011 · sole proprietor
Practice
- Address
- Gsmc - Emergency Department
235 North Pearl St
Brockton, MA 02301 - Phone
- (508) 427-3000
- Clinicians at this address
- 2
Additional practice sites
- Semc - Emergency Department, Brighton, MA
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207RB0002X
207P00000X - Licence states on file
- MA, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts