JACOB E. MOORE MD – NPI #1154617058
Emergency Medicine

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 response to acute illness and injury.

Health Care Provider Taxonomy Code for Emergency Medicine

JACOB MOORE is a physician located in BROCKTON, MA. NPPES has assigned the NPI number 1154617058 to JACOB MOORE on June 20, 2011. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was last updated on May 12, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACOB MOORE below.

NPI Profile for
JACOB E. MOORE

NPI Number
1154617058
Enumeration Date

(about 15 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JACOB E. MOORE
Credentials
MD
Primary location
GSMC - EMERGENCY DEPARTMENT
235 NORTH PEARL ST
BROCKTON, MA 02301
Phone: (508) 427-3000 Fax:
1 Other location(s):
SEMC - Emergency Department
255 Washington St
Brighton, MA 02135
Phone: (508) 427-3000
Mailing address
BMCHS PROVIDER ENROLLMENT
960 MASSACHUSETTS AVE FLR 2
BOSTON, MA 02118
Phone: Fax:
Sole Proprietor
Yes
Updated
Certification Date
May 12, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)		 MA 258476
207RB0002X
- Internal Medicine / Obesity Medicine		 MA 90000429

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE - Graduated 2011
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JACOB MOORE is affiliated with the following medical group(s):
  • HOSPITAL
    • GOOD SAMARITAN MEDICAL CENTER
      235 NORTH PEARL STREET
      BROCKTON, MA 02301

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