Individual provider Active NPI

Robert Craven Snyder Jr., M.D.

  • Family Medicine Physician
  • Pelham, AL
National Provider Identifier
1447369590
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
00012143 Issued in AL
Practice address
2508 Pelham Pkwy
Pelham, AL 35124-1321
Phone
(205) 664-0880
Fax
(205) 664-0895
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00012143 AL Primary

Addresses

Primary practice location

2508 Pelham Pkwy
Pelham, AL 35124-1321

Mailing address

2508 Pelham Pkwy
Pelham, AL 35124-1321
Phone (205) 664-0880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20101209000478 AL Practitioner - Family Practice 2668669128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2508 Pelham Pkwy
Pelham, AL 35124-1321
Phone (205) 664-0880

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.31 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12143ALMDPharmacist
00012143ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cahaba Family Medicine, P.C. Family Medicine CurrentSince May 23, 1997 Accepting new patients

Locations

2508 Pelham Pkwy
Pelham, AL 35124
Phone (205) 664-0880

Organizations & group practices 1

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 4

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447369590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241321",
            "telephone_number": "205-664-0880",
            "fax_number": "205-664-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351241321",
            "telephone_number": "205-664-0880",
            "fax_number": "205-664-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNYDER",
        "first_name": "ROBERT",
        "middle_name": "CRAVEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00012143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pelham, AL

Sources for this page

Verify at the official NPI Registry.