Individual provider Active NPI

Gregory Bruce Snyder, MD

  • Diagnostic Radiology Physician
  • St Louis Park, MN
National Provider Identifier
1295730349
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
38581 Issued in MN
Practice address
5775 Wayzata Blvd Ste 190
St Louis Park, MN 55416-2627
Phone
(952) 541-1840
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X M-2507 GU
Diagnostic Radiology Physician 2085R0202X 38581 MN Primary
Vascular & Interventional Radiology Physician 2085R0204X 38581 MN
Vascular & Interventional Radiology Physician 2085R0204X 45851-20 WI
Diagnostic Radiology Physician 2085R0202X MTL-2025-010 GU

Addresses

Primary practice location

5775 Wayzata Blvd Ste 190
St Louis Park, MN 55416-2627

Mailing address

Medical Scanning Consultants. PA.
5775 Wayzata Blvd. Suite 400
St. Louis Park, MN 55416
Phone (952) 905-5602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, GU2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040517001418 MN Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0749270072 Reassigns benefits to 2 organizations
I20250825001868 GU Practitioner - Diagnostic Radiology 0749270072 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guam Healthcare Development IncorporatedGroup PAC ID 9234351776, 211 clinicians
Guam X-RayGroup PAC ID 8123180742, 33 clinicians
Guam Medical Imaging Center LLCGroup PAC ID 6103715842, 7 clinicians
Guam Memorial HospitalGroup PAC ID 5890781694, 132 clinicians

Practice addresses (Care Compare)

133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500

633 Gov Carlos Camacho Rd
Suite 210
Tamuning, GU 96913
Phone (671) 649-1001

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Phone (671) 647-2552

Hospital & facility affiliations

  • Guam Regional Medical City Hospital, Dededo, GU, CCN 650003
  • Guam Memorial Hospital Authority Hospital, Tamuning, GU, CCN 650001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-2507GUMDDiagnostic Radiology Physician
45851-20WIMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guam Healthcare Development Incorporated CurrentSince Aug 19, 2025 Accepting new patients
Guam Memorial Hospital CurrentSince Sep 6, 2025 Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Jun 25, 2022 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Sanford Health of Northern Minnesota CurrentSince Jun 25, 2022 Accepting new patients
Guam Medical Imaging Center LLC CurrentSince Jul 26, 2025 Accepting new patients
Guam Memorial Hospital CurrentSince Sep 6, 2025 Accepting new patients
Guam X-Ray Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
The Duluth Clinic, LTD Past Accepting new patients
Proactive Imaging LLC Diagnostic Radiology Past Accepting new patients

Locations

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

633 Gov Carlos G Camacho Rd
Ste 218
Tamuning, GU 96913
Phone (671) 649-9227

850 Gov Carlos G Camacho Rd
Tamuning, GU 96913
Phone (671) 647-2555

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481

Organizations & group practices 11

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 2

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1295730349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL SCANNING CONSULTANTS. PA.",
            "address_2": "5775 WAYZATA BLVD. SUITE 400",
            "city": "ST. LOUIS PARK",
            "state": "MN",
            "postal_code": "55416",
            "telephone_number": "952-905-5602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 WAYZATA BLVD STE 190",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162627",
            "telephone_number": "952-541-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "GREGORY",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GU",
            "license": "M-2507",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "38581",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MN",
            "license": "38581",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WI",
            "license": "45851-20",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GU",
            "license": "MTL-2025-010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

Verify at the official NPI Registry.