Individual provider Active NPI

Bruce Benjamin Snider, M.D.

  • Obstetrics & Gynecology Physician
  • Olathe, KS
National Provider Identifier
1235181256
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
04-23022 Issued in KS
Practice address
20375 W 151St St
Suite 250
Olathe, KS 66061-7218
Phone
(913) 764-6262
Fax
(913) 764-6870
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 04-23022 KS Primary

Addresses

Primary practice location

20375 W 151St St
Suite 250
Olathe, KS 66061-7218

Mailing address

20375 W 151St St
Suite 250
Olathe, KS 66061-7218
Phone (913) 764-6262

Other identifiers 1

IdentifierTypeStateIssuer
2050247602MedicaidKS

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kansas School of Med (KC/Wich/Sal), 1986
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20375 W 151St St
Suite 250
Olathe, KS 66061-4576

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-23022KSMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce Snider MD PA Obstetrics & Gynecology CurrentSince Jan 1, 1998 Accepting new patients
Olathe Medical Center Inc Past Accepting new patients
Olathe Health Physicians, Inc. PastSince Jan 1, 2017 Accepting new patients

Locations

20375 W 151st St
Ste 250
Olathe, KS 66061
Phone 9137646262 ext. 238

Interoperability endpoints

  • Direct secure messaging: bsnider755762@direct.kuha.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/9997a5fc-aad4-42a6-b005-45276937bbd0/

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1235181256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20375 W 151ST ST",
            "address_2": "SUITE 250",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617218",
            "telephone_number": "913-764-6262",
            "fax_number": "913-764-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20375 W 151ST ST",
            "address_2": "SUITE 250",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660617218",
            "telephone_number": "913-764-6262",
            "fax_number": "913-764-6870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "BRUCE",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "04-23022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2050247602",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.