Individual provider Active NPI

Brenda A Snowman, MD

  • Obstetrics & Gynecology Physician
  • Cleveland, TN
National Provider Identifier
1235117250
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD023514 Issued in TN
Practice address
2550 Business Park Dr NE
Cleveland, TN 37311-6503
Phone
(423) 339-8881
Fax
(423) 464-6126
NPI assigned
Jan 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD023514 TN Primary

Addresses

Primary practice location

2550 Business Park Dr NE
Cleveland, TN 37311-6503

Mailing address

2550 Business Park Dr NE
Cleveland, TN 37311-6503
Phone (423) 339-8881

Other identifiers 2

IdentifierTypeStateIssuer
0157720OtherTNBLUE CROSS BLUE SHIELD
Q011934MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040603001522 TN Practitioner - Obstetrics/Gynecology 0547242463

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD023514TNMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: snowdoc@99fdbf75.micromddirect.com

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1235117250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 BUSINESS PARK DR NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373116503",
            "telephone_number": "423-339-8881",
            "fax_number": "423-464-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 BUSINESS PARK DR NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373116503",
            "telephone_number": "423-339-8881",
            "fax_number": "423-464-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOWMAN",
        "first_name": "BRENDA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD023514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0157720",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q011934",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.