Bruce Snider MD PSC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

16835 Issued in KY

Legal business name

BRUCE SNIDER MD PSC

Practice address

510 Graves Ave Ste 210
Erlanger, KY 41018-3309

Phone

(859) 341-5014

Fax

(859) 341-5136

NPI assigned

Nov 14, 2006

Last updated

Sep 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bruce A Snider, MDNPI 1548331226

Title

Business Owner

Phone

(859) 341-5014

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bruce Alan Snider, MD

  • Specialist
  • Erlanger, KY
  • NPI 1548331226
  Authorized official Same address or phone
• Holly Ann Maddy, LCSW LISW

  • Clinical Social Worker
  • Crestview Hills, KY
  • NPI 1912078650
  NPD (past)
• Stephanie Yvonne Januszki, PA

  • Physician Assistant
  • Blue Ash, OH
  • NPI 1093016040
  NPD (past)
• Jennifer Lyne Roberts Jorgenson, LCSW LISW ACSW

  • Clinical Social Worker
  • Burlington, VT
  • NPI 1629144134
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1215009691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 GRAVES AVE STE 210",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410183309",
            "telephone_number": "859-341-5014",
            "fax_number": "859-341-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 GRAVES AVE STE 210",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "410183309",
            "telephone_number": "859-341-5014",
            "fax_number": "859-341-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE SNIDER MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2025-09-12",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "SNIDER",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "859-341-5014",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "16835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64168354",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann M Blank, PHARMD
• Madeline Bloemer
• Tammy Jo Bowen, APRN
• Leslie Elizabeth Boyd
• Ellen Marie Britton, OTR/L
• Carolyn M. Brug, O.D.
• Edward Lee Brush, MPT
• Lauren Bryan, APRN
• Kristen Bynum, PT
• Randi L Callahan, M.D.

• Psychiatry Physician in Erlanger, KY
• Providers in Erlanger, KY by specialty
• Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.