Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bridget Moore

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104405414

Bridget Moore is a Student in an Organized Health Care Education/Training Program in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2021.

Licensed in
MI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Grand Rapids, MI

No coordinates on file. Search this address in Google Maps

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4351047958 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1104405414
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 5, 2021
Last updated in NPPESMay 25, 2022
Certification dateMay 25, 2022

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