Individual provider · Type 1 NPI

Jacob E. Moore, MD

Emergency Medicine Physician · Brockton, MA

NPI number 1154617058 Active

Practice location

Gsmc - Emergency Department, 235 North Pearl St
Brockton, MA 02301

Call (508) 427-3000 Map

Mailing address

Bmchs Provider Enrollment, 960 Massachusetts Ave Flr 2
Boston, MA 02118

Other practice locations

  • Semc - Emergency Department, 255 Washington St, Brighton, MA 02135 · (508) 427-3000

Specialties and licenses

TaxonomyCodeLicense
Obesity Medicine (Internal Medicine) Physician 207RB0002X90000429 (MA)
Emergency Medicine Physician 207P00000X125-059970 (IL)
Emergency Medicine Physician Primary 207P00000X258476 (MA)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1154617058

Jacob E. Moore, MD's National Provider Identifier is 1154617058, issued on Jun 20, 2011. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Brockton, MA. The record was last updated on May 12, 2026.