IndividualActive
Brendan Moore
NPI 1043597768 · Independent Duty Corpsman · Camp Lejeune, NC
Provider details
- NPI number
- 1043597768
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 39352435 (NC)
Practice location
2d Marine Special Operations Battalion
Pcs Box 20183
Camp Lejeune, NC 28542-0183
Phone: (910) 440-7704
Mailing address
2d Marine Special Operations Battalion
Camp Lejeune, NC 28542-0183
Registry dates
- Enumerated
- 2011-11-09
- Last updated
- 2011-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.