Individual provider Active NPI

Bruce Snipes, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Effingham, SC
National Provider Identifier
1083953707
Registry record updated Feb 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2306 Issued in SC
Practice address
2348 Savannah Grove Rd
Savannah Grove Elementary
Effingham, SC 29541-9522
Phone
(843) 664-8463
Fax
(843) 664-8185
NPI assigned
Feb 1, 2013
Last updated
Feb 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2306 SC Primary

Addresses

Primary practice location

2348 Savannah Grove Rd
Savannah Grove Elementary
Effingham, SC 29541-9522

Mailing address

2348 Savannah Grove Rd
Effingham, SC 29541-6352
Phone (843) 664-8463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2306SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Florence School District Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1083953707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2348 SAVANNAH GROVE RD",
            "city": "EFFINGHAM",
            "state": "SC",
            "postal_code": "295416352",
            "telephone_number": "843-664-8463",
            "fax_number": "843-664-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2348 SAVANNAH GROVE RD",
            "address_2": "SAVANNAH GROVE ELEMENTARY",
            "city": "EFFINGHAM",
            "state": "SC",
            "postal_code": "295419522",
            "telephone_number": "843-664-8463",
            "fax_number": "843-664-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIPES",
        "first_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "2306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.