Active NPI
Brice Snyder, LAT, ATC, BCS-O
- Athletic Trainer
- Virginia Beach, VA
National Provider Identifier
1144627613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0126002005
- Practice address
- 230 Clearfield Ave Ste 124
Virginia Beach, VA 23462-1832 - Phone
- (757) 321-3300
- Fax
- (757) 321-3330
- NPI assigned
- Nov 29, 2014
- Last updated
- Jul 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Assistant | 246ZX2200X | 15-1143 | ||
| Athletic Trainer | 2255A2300X | 0126002005 | VA | Primary |
Addresses
Primary practice location
230 Clearfield Ave Ste 124
Virginia Beach, VA 23462-1832
Mailing address
230 Clearfield Ave Ste 124
Virginia Beach, VA 23462-1832
Phone (757) 321-3300
Other practice location 1
151 S Boggs Ave
102
Virginia Beach, VA 23452-1636
Phone (484) 226-5845
Other practice location 2
230 Clearfield Ave Ste 124
Virginia Beach, VA 23462-1832
Phone (757) 321-3300
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0126002005 | VA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1144627613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 CLEARFIELD AVE STE 124",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621832",
"telephone_number": "757-321-3300",
"fax_number": "757-321-3330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 CLEARFIELD AVE STE 124",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234621832",
"telephone_number": "757-321-3300",
"fax_number": "757-321-3330"
}
],
"practiceLocations": [
{
"address_1": "151 S Boggs Ave",
"address_2": "102",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234521636",
"country_code": "US",
"telephone_number": "484-226-5845",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "230 Clearfield Ave Ste 124",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234621832",
"country_code": "US",
"telephone_number": "757-321-3300",
"fax_number": "757-321-3330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SNYDER",
"first_name": "BRICE",
"name_prefix": "Mr.",
"credential": "LAT, ATC, BCS-O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-29",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "246ZX2200X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Orthopedic Assistant",
"state": null,
"license": "15-1143",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "VA",
"license": "0126002005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.