Active NPI
Ian Ross Snyder
- Military Health Care Provider
- Jbsa Fort Sam Houston, TX
National Provider Identifier
1508671835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- Practice address
- Brooke Army Medical Center
3551 Roger Brooke Dr.
Jbsa Fort Sam Houston, TX 78234 - Phone
- (609) 529-6902
- NPI assigned
- Feb 12, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | Primary |
Addresses
Primary practice location
Brooke Army Medical Center
3551 Roger Brooke Dr.
Jbsa Fort Sam Houston, TX 78234
Mailing address
Brooke Army Medical Center
3551 Roger Brooke Dr.
Jbsa Fort Sam Houston, TX 78234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1508671835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BROOKE ARMY MEDICAL CENTER",
"address_2": "3551 ROGER BROOKE DR.",
"city": "JBSA FORT SAM HOUSTON",
"state": "TX",
"postal_code": "78234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BROOKE ARMY MEDICAL CENTER",
"address_2": "3551 ROGER BROOKE DR.",
"city": "JBSA FORT SAM HOUSTON",
"state": "TX",
"postal_code": "78234",
"telephone_number": "609-529-6902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNYDER",
"first_name": "IAN",
"middle_name": "ROSS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-12",
"last_updated": "2025-02-12",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jbsa Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 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.