Individual provider Active NPI

Barry James Snyder, MD

  • Family Medicine Physician
  • Fairmount City, PA
National Provider Identifier
1104806470
Registry record updated Jun 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
026145E Issued in PA
Practice address
1323 Brookville St
Fairmount City, PA 16224-1139
Phone
(814) 275-3320
Fax
(814) 275-4413
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 026145E PA Primary

Addresses

Primary practice location

1323 Brookville St
Fairmount City, PA 16224-1139

Mailing address

100 Hospital Rd
Brookville, PA 15825-1367
Phone (814) 275-3320

Other identifiers 3

IdentifierTypeStateIssuer
1015130590001MedicaidPA
393872OtherPAVERITUS
427705OtherPAMEDICARE

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
026145EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookville Hospital Past Accepting new patients
Brookville Hospital Family Medicine Past Accepting new patients
Brookville Hospital Family Medicine Past Accepting new patients
Brookville Hospital Past Accepting new patients
Brookville Hospital Family Medicine Past Accepting new patients
Brookville Hospital Family Medicine Past Accepting new patients
Brookville Hospital Family Medicine Past Accepting new patients
Brookville Hospital Past Accepting new patients
Brookville Hospital Past Accepting new patients
Brookville Hospital Past Accepting new patients
Brookville Hospital Past Accepting new patients
Brookville Hospital Family Medicine Past Accepting new patients
Brookville Hospital Past Accepting new patients
Brookville Hospital Family Medicine Past Accepting new patients
Brookville Hospital Family Medicine PastSince Jan 1, 2005 Accepting new patients

Organizations & group practices 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1104806470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "city": "BROOKVILLE",
            "state": "PA",
            "postal_code": "158251367",
            "telephone_number": "814-275-3320",
            "fax_number": "814-275-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 BROOKVILLE ST",
            "city": "FAIRMOUNT CITY",
            "state": "PA",
            "postal_code": "162241139",
            "telephone_number": "814-275-3320",
            "fax_number": "814-275-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "BARRY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "026145E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015130590001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VERITUS",
            "identifier": "393872",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "427705",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmount City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.